Active NPI
Linda Irene Donofrio, MS SPEECH LANGUAGE P
- Speech-Language Pathologist
- Portland, OR
National Provider Identifier
1962546556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12107
- Practice address
- 1827 NE 44TH Ave
Suite 120
Portland, OR 97213 - Phone
- (503) 808-9919
- Fax
- (503) 459-4986
- NPI assigned
- Feb 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12107 | OR | Primary |
Addresses
Primary practice location
1827 NE 44TH Ave
Suite 120
Portland, OR 97213
Mailing address
1827 NE 44TH Ave
Suite 120
Portland, OR 97213
Phone (503) 808-9919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213514 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12107 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962546556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1827 NE 44TH AVE",
"address_2": "SUITE 120",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97213",
"telephone_number": "503-808-9919",
"fax_number": "503-459-4986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1827 NE 44TH AVE",
"address_2": "SUITE 120",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97213",
"telephone_number": "503-808-9919",
"fax_number": "503-459-4986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOFRIO",
"first_name": "LINDA",
"middle_name": "IRENE",
"name_prefix": "Ms.",
"credential": "MS SPEECH LANGUAGE P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "12107",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "213514",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.