GREEN HILLS PEDIATRIC THERAPY, INC. (NPI# 1093165623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093165623 |
| Entity Type | Organization |
| Organization Name | GREEN HILLS PEDIATRIC THERAPY, INC. |
| Practice Address |
5319 Sw Westgate Dr Ste 120 Portland OR 97221-2313 |
| Practice Telephone | 5032974052 |
| Practice Fax Number | 5032974401 |
| Mailing Telephone | 5032974052 |
| Mailing Fax Number | 5032974401 |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-10-20 |
| Authorized Official Name | DR. ANNA JEDDELOH WATERS (SPEECH-LANGUAGE PATHOLOGIST) |
| Authorized Official Telephone | 5032974052 |
| Authorized Official Credential | ED.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
13433 | OR | Ambulatory Health Care Facilities |
| Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
13313 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500693103 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | GREEN HILLS PEDIATRIC THERAPY, INC. | 5319 Sw Westgate Dr #120, Portland, OR 97221 |
| Street Address |
5319 SW WESTGATE DR STE 120 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97221-2313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460371 | Samantha Nozomi Murata | Pharmacist | 5415 Sw Beaverton Ct Hwy, Portland, OR 97221 | 2020-09-08 |
| 1063996312 | Maximilian Torres | Physical Therapy Assistant | 4602 Sw 53rd Ave, Portland, OR 97221 | 2018-09-22 |
| 1275071599 | Kayla Hoskins | Social Worker | 6443 Sw Beaverton Hillsdale Hwy Suite 300, Portland, OR 97221 | 2017-02-07 |
| 1467821520 | Tam Nguyen | Pharmacist | 5431 Sw Beaverton Hillsdale, Portland, OR 97221 | 2015-09-18 |
| 1124494786 | Laine Towell | Psychologist | 6443 Sw Beaverton Hillsdale Hwy Ste 300, Portland, OR 97221 | 2015-08-18 |
| 1376936633 | Patricia A. Lolich-beyer | Counselor | 5201 Sw Westgate Dr., Suite 118, Portland, OR 97221 | 2015-03-11 |
| 1134468374 | Alexandra Scamarone | Acupuncturist | 5319 Sw Westgate Dr, Unit No. 150, Portland, OR 97221 | 2013-02-07 |
| 1508118316 | Nichole C. Marks | Speech-Language Pathologist | 6125 Sw Boundary, Portland, OR 97221 | 2012-10-04 |
| 1649529538 | Navkiran Kaur Singh | Counselor | 5440 Sw Westgate Drive., Suite 175, Portland, OR 97221 | 2012-09-06 |
| 1306124276 | Alyssa C. Brin | Counselor | 5440 Sw Westgate Dr Ste 210, Portland, OR 97221 | 2011-07-26 |
| Find all providers in zip 97221 | ||||
| Taxonomy Code | 261QH0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Hearing and Speech |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407414428 | Seedling Speech & Language | Clinic/Center | 422 Se 79th Ave Ste 201, Portland, OR 97215-1519 | 2019-06-04 |
| 1093182644 | A Hope for Autism Foundation | Clinic/Center | 2120 Sw Jefferson St Ste B200, Portland, OR 97201-7727 | 2015-08-31 |
| 1598293078 | Dallhouse Speech and Language, LLC | Clinic/Center | 6723 Sw 15th Ave, Portland, OR 97219-2026 | 2017-05-30 |
| 1740524966 | Hearing Institute At The Artz Center | Clinic/Center | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225-5104 | 2012-11-15 |
| 1073841391 | Audiology Center Northwest LLC | Clinic/Center | 1225 Ne 2nd Ave, Portland, OR 97232-2003 | 2009-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144716127 | Overland Speech and Swallowing Rehabilitation, LLC | Clinic/Center | 2046 Ne Red Rock Ln, Bend, OR 97701-6533 | 2018-07-02 |
| 1588154777 | Gn Hearing Care Corp | Clinic/Center | 141 Se 3rd St, Bend, OR 97702-1364 | 2018-05-14 |
| 1013423086 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 1807 Cove Ave, La Grande, OR 97850-3516 | 2017-12-28 |
| 1114447729 | Davies Speech-language Services, LLC | Clinic/Center | 1984 Nw Thomsen Ln, Mcminnville, OR 97128-2522 | 2017-06-23 |
| 1982078671 | Tuality Hearing Center, LLC | Clinic/Center | 1915 Nw Amberglen Pkwy Ste 400, Hillsboro, OR 97006-6938 | 2015-11-18 |
| 1073991378 | Chris Butterworth Speech Language Pathology, LLC | Clinic/Center | 1904 Adams Ave # 20, La Grande, OR 97850-2918 | 2015-05-07 |
| 1972927895 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 1647 Williams Hwy, Grants Pass, OR 97527-5699 | 2014-02-12 |
| 1568622231 | Mountain View Hearing Aid Center | Clinic/Center | 3845 Ne Division St, Gresham, OR 97030 | 2008-06-16 |
| 1407023328 | Sheldon Medical LLC | Clinic/Center | 490 N 2nd St, Suite C, Coos Bay, OR 97420-2370 | 2008-05-09 |
| 1417934886 | Pt Northwest LLC | Clinic/Center | 685 36th Ave Ne, Salem, OR 97301-0005 | 2005-12-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.