CLACKAMAS SPEECH LLC (NPI# 1831581131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831581131 |
Entity Type | Organization |
Organization Name | CLACKAMAS SPEECH LLC |
Practice Address |
2305 Se Washington St Ste 102 Milwaukie OR 97222-7647 |
Practice Telephone | 5036541014 |
Mailing Telephone | 5036541014 |
Enumeration Date | 2015-02-23 |
Last Update Date | 2015-02-23 |
Authorized Official Name | HEIDII ILONA ROBERTS (SLP/OWNER) |
Authorized Official Telephone | 5036541014 |
Authorized Official Credential | CCCSLP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
11741 | OR | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 500656249 | 05 |
Street Address |
2305 SE WASHINGTON ST STE 102 |
City | MILWAUKIE |
State | OR |
Zip Code | 97222-7647 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568601318 | Heidii I Roberts | Speech-Language Pathologist | 2305 Se Washington St Ste 102, Milwaukie, OR 97222-7647 | 2009-02-17 |
1710458484 | Olivia Mickola | Speech-Language Pathologist | 2305 Se Washington St Ste 102, Milwaukie, OR 97222-7647 | 2018-12-06 |
1952811192 | Kerry Heintze | Speech-Language Pathologist | 2305 Se Washington St Ste 102, Milwaukie, OR 97222-7647 | 2017-10-02 |
1609305788 | Erikkson Baird | Speech-Language Pathologist | 2305 Se Washington St Ste 102, Milwaukie, OR 97222-7647 | 2017-06-12 |
1487181871 | Nicole Wilkin | Specialist/Technologist | 2305 Se Washington St Ste 102, Milwaukie, OR 97222-7647 | 2017-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
Find all providers in zip 97222 |
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 |
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 |
1093165623 | Green Hills Pediatric Therapy, Inc. | Clinic/Center | 5319 Sw Westgate Dr Ste 120, Portland, OR 97221-2313 | 2016-06-14 |
1982078671 | Tuality Hearing Center, LLC | Clinic/Center | 1915 Nw Amberglen Pkwy Ste 400, Hillsboro, OR 97006-6938 | 2015-11-18 |
1093182644 | A Hope for Autism Foundation | Clinic/Center | 2120 Sw Jefferson St Ste B200, Portland, OR 97201-7727 | 2015-08-31 |
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 |
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.