MRS. ANDREA JANE EKSTAM (NPI# 1396042172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396042172 |
| Entity Type | Individual |
| Full Name | MRS. ANDREA JANE EKSTAM |
| Credential | M.A., CCC-SLP |
| Practice Address |
2100 Ne Broadway Ste 119 Portland OR 97232 |
| Mailing Address |
4407 Se 46th Ave Portland OR 97206 |
| Practice Telephone | 3193293007 |
| Practice Fax Number | 5035366733 |
| Mailing Telephone | 3193293007 |
| Mailing Fax Number | 5035366733 |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2011-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | ASHA#12117396 | Speech, Language and Hearing Service Providers | |
| N | 235Z00000X | Speech-Language Pathologist | 12943 | OR | Speech, Language and Hearing Service Providers |
| Street Address |
2100 NE BROADWAY STE 119 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770632697 | Christopher Paul Wood | Massage Therapist | 2100 Ne Broadway, Suite 225, Portland, OR 97232-1569 | 2007-01-09 |
| 1508110974 | Kirk M Shepard | Counselor | 2100 Ne Broadway, #333, Portland, OR 97232 | 2012-11-06 |
| 1942571922 | Camille B Hook | Massage Therapist | 2100 Ne Broadway, Suite 225, Portland, OR 97232-1569 | 2012-01-23 |
| 1356645956 | Justin William Bush | Psychologist | 2100 Ne Broadway, Suite 101, Portland, OR 97232-1569 | 2010-12-22 |
| 1891003711 | Mary Wells Pope | Counselor | 2100 Ne Broadway, Suite 335, Portland, OR 97232-1570 | 2010-09-14 |
| 1720394315 | Megan Weber Jeske | Counselor | 2100 Ne Broadway, 319a, Portland, OR 97232-1569 | 2010-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
| 1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
| 1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
| 1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
| 1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
| 1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
| Find all providers in zip 97232 | ||||
| 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 |
|---|---|---|---|---|
| 1407456429 | Alexander Emile Burday | Speech-Language Pathologist | 9001 Nw Skyline Blvd, Portland, OR 97231-2623 | 2020-10-28 |
| 1710585963 | Beech Street Speech and Language LLC | Speech-Language Pathologist | 5724 Ne Beech St, Portland, OR 97213-3257 | 2020-10-10 |
| 1881209245 | Adult Speech Therapy Solutions, LLC | Speech-Language Pathologist | 5900 N Albina Ave Apt 3, Portland, OR 97217-2289 | 2020-09-12 |
| 1255946067 | In Reach Speech-language Therapy LLC | Speech-Language Pathologist | 1246 Sw Falcon St, Portland, OR 97219-4341 | 2020-09-09 |
| 1205453271 | Speak Read Write | Speech-Language Pathologist | 1714 Nw 32nd Ave, Portland, OR 97210-1910 | 2020-06-25 |
| 1033732888 | Emma Towne | Speech-Language Pathologist | 3840 Se Center St, Portland, OR 97202-3209 | 2020-05-27 |
| 1922628106 | Kimberly Lynn Dahl | Speech-Language Pathologist | 3303 Sw Bond Ave Fl Chh1, Portland, OR 97239-4501 | 2020-04-17 |
| 1316581358 | Kristin Shea Nyboer | Speech-Language Pathologist | 7065 Sw 92nd Ave, Portland, OR 97223-7124 | 2019-11-02 |
| 1538701024 | Susan Ashbury | Speech-Language Pathologist | 7311 N Lancaster Ave, Portland, OR 97217-5637 | 2019-10-16 |
| 1396393401 | Speechease Travel Therapy | Speech-Language Pathologist | 1535 Sw Clay St Apt 303, Portland, OR 97201-6126 | 2019-09-01 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on MRS. ANDREA JANE EKSTAM.
| 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.