Travis Dockter, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

015615 Issued in OR

Practice address

1827 NE 44TH Ave Ste 130
Portland, OR 97213-1443

Phone

(623) 237-5271

NPI assigned

Jan 5, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Travis M Dockter Ms CCC-SLP

  • Speech-Language Pathologist
  • Portland, OR
  • NPI 1245813088
  NPD Authorized official
• Glendale Elementary School District #40

  • Local Education Agency (LEA)
  • Glendale, AZ
  • NPI 1811197916
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578700800000",
    "number": "1962890574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 NE 127TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972301814",
            "telephone_number": "971-282-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 NE 44TH AVE STE 130",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131443",
            "telephone_number": "623-237-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCKTER",
        "first_name": "TRAVIS",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-05",
        "last_updated": "2020-01-11",
        "certification_date": "2020-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "015615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Keith Dobscha, M.D.
• Charlesetta Dobson, LCSW
• Kassy Dobson, RD, LD, CDCES
• Chantelle K Dockter, MA, LPC
• Shontee Dockter
• Corina Doctrine, ND
• Claire E.M. Dodd, PSYD
• Clarice Dodd
• Hannah S Dodd, PA-C
• Jennifer Marie Dodd, LCSW

• Speech-Language Pathologist in Portland, OR
• Providers in Portland, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.