PATHWAY SPEECH THERAPY LLC (NPI# 1285121194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285121194 |
| Entity Type | Organization |
| Organization Name | PATHWAY SPEECH THERAPY LLC |
| Practice Address |
9123 Se Saint Helens St Ste 115b Clackamas OR 97015-6858 |
| Mailing Address |
13901 Se Eastridge St Portland OR 97236-6631 |
| Practice Telephone | 9712194857 |
| Mailing Telephone | 9712194857 |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-04-16 |
| Authorized Official Name | ELLECIA DECOUTEAU (SPEECH & LANGUAGE PATHOLOGIST) |
| Authorized Official Telephone | 9712194857 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 15632 | OR | Speech, Language and Hearing Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PATHWAY SPEECH THERAPY LLC | 2035 Se Washington St, Milwaukie, OR 97222 |
| Street Address |
9123 SE SAINT HELENS ST STE 115B |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-6858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346588639 | Tara Watts | Speech-Language Pathologist | 14240 Se 132nd Avenue, Clackamas, OR 97015 | 2013-01-22 |
| 1649577412 | Ashley Johnson | Speech-Language Pathologist | 9123 Se Saint Helens St Ste 275d, Clackamas, OR 97015-6858 | 2011-02-14 |
| 1639324296 | Ann Michelle Mazurik | Speech-Language Pathologist | 14291 Se 172nd Ave, Clackamas, OR 97015-8766 | 2008-11-24 |
| 1760038640 | Shannon Hyunji Lee | Speech-Language Pathologist | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2019-08-15 |
| 1962960922 | Speak Up Speech Therapy, LLC | Speech-Language Pathologist | 9123 Se Saint Helens St Ste 275d, Clackamas, OR 97015-6858 | 2019-03-08 |
| 1366917411 | Emily Mae Anderson | Speech-Language Pathologist | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2018-10-04 |
| 1336597368 | Jon Paul Casalegno | Speech-Language Pathologist | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2016-05-31 |
| 1194186072 | Samantha Ellen Richards | Speech-Language Pathologist | 10121 Se Sunnyside Rd, Suite 210, Clackamas, OR 97015-5745 | 2016-03-18 |
| 1215311246 | Allegra Liedtke | Speech-Language Pathologist | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2015-07-20 |
| 1871976076 | Nancy Fulton | Speech-Language Pathologist | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2015-07-07 |
| Find all providers in CLACKAMAS | ||||
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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.