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PORTLAND DYSPHAGIA DIAGNOSTICS LLC NPI 1811590615


NPI Information

NPI: 1811590615
Provider Name: PORTLAND DYSPHAGIA DIAGNOSTICS LLC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization

CLIA Number: 38D2055108

Address:
4246 NE WYGANT ST
PORTLAND, OR
ZIP 97218
Phone: (404) 788-6887
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PORTLAND DYSPHAGIA DIAGNOSTICS LLC is a speech language pathologist in Portland, OR. The provider is 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. PORTLAND DYSPHAGIA DIAGNOSTICS LLC NPI is 1811590615. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4246 NE WYGANT ST
PORTLAND, OR
ZIP 97218-642
Phone: (404) 788-6887

The provider's authorized official is Sarah Marrin .
The authorized official title is Speech-language Pathologist and has the following contact phone number (404) 788-6887.

The CLIA number assigned to this NPI record is 38D2055108 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2020 and was last updated on 11/16/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language PathologistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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