BEN CARLSTROM


Address: 3320 Se Holgate Blvd, Portland, OR 97202
Phone: 5032311411

BEN CARLSTROM (NPI# 1629627997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629627997
Entity Type Individual
Full Name BEN CARLSTROM
Credential M.S. CF-SLP
Practice Address 3320 Se Holgate Blvd
Portland
OR 97202
Mailing Address 25117 Sw Parkway Ave Ste D
Wilsonville
OR 97070-9697
Practice Telephone 5032311411
Enumeration Date 2019-09-09
Last Update Date 2019-09-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 016632 OR Speech, Language and Hearing Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
75 Shore Dr, Saint Helens, OR 970511125 5033972713

Office Location

Street Address 3320 SE HOLGATE BLVD
City PORTLAND
State OR
Zip Code 97202

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558427955 Friendship Health Center Skilled Nursing Facility 3320 Se Holgate Blvd, Portland, OR 97202-3459 2006-12-29
1821578493 Victoria Loudermilk Physical Therapy Assistant 3320 Se Holgate Blvd, Portland, OR 97202-3459 2018-08-14
1417452210 Tasha Louise Danner Physical Therapy Assistant 3320 Se Holgate Blvd, Portland, OR 97202-3459 2018-03-26
1215389135 Clayton Ross Rickett Occupational Therapist 3320 Se Holgate Blvd, Portland, OR 97202-3459 2016-07-02
1346699113 Heather Boisjolie Physical Therapy Assistant 3320 Se Holgate Blvd, Portland, OR 97202-3459 2016-06-12
1114304235 Marisa Steinkamp Physical Therapy Assistant 3320 Se Holgate Blvd, Portland, OR 97202-3459 2015-04-27
1871917310 Tracy Flynn Technician 3320 Se Holgate Blvd, Portland, OR 97202-3459 2014-02-04
1760805451 Mackenzie Schack Specialist 3320 Se Holgate Blvd, Portland, OR 97202-3459 2014-01-30
1306269113 Elissa Andresen Physical Therapy Assistant 3320 Se Holgate Blvd, Portland, OR 97202-3459 2014-01-29
1649502832 Stephanie Jane Grosul Occupational Therapist 3320 Se Holgate Blvd, Portland, OR 97202-3459 2010-02-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073143442 Carewell LLC Counselor Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 2020-01-24
1588226765 Melissa Lynn Hartley Counselor 1235 Se Division St. Suite 103, Portland, OR 97202 2019-07-08
1275192999 Kimberly Rae Kilgore Counselor 5509 Se 22nd St #3a, Portland, OR 97202 2019-06-06
1639736069 Kyra Steinhauer Social Worker 3145 Se Powell Blvd, Portland, OR 97202 2019-05-21
1134644321 Bridgette Hennigsen Social Worker 3810 Se 11th Ave, Portland, OR 97202 2017-08-08
1558895789 Lenore Cangeloso Acupuncturist 1235 Se Division Street, Suie 117, Portland, OR 97202 2017-04-14
1376099093 Anna Christine Leclerc Contractor 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 2016-09-01
1144684663 Catholic Charities Case Management 2740 Se Powell Blvd., Portland, OR 97202 2016-04-11
1881082097 Zoomcare Dental, P.C. Dentist 3130 Se Division Street, Building 2, Portland, OR 97202 2014-12-23
1124424700 Jessica Nash Counselor 6411 Se 17th Ave, Portland, OR 97202 2014-11-10
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City PORTLAND
Zip Code 97202

Improve Information

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Dataset Information

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.

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