NPI 1194567776 · live from the CMS NPI Registry
Rebecca Barone
Speech-Language Pathologist, in Portland, OR. National Provider Identifier 1194567776, active.
NPI record
| NPI | 1194567776 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 825 Se 51st Ave, Portland, OR 97215 |
| Practice phone | 503-916-6207 |
| Mailing address | 501 N Dixon St, Portland, OR 97227 |
| Enumerated | June 12, 2024 |
| Last updated | June 12, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 09147351 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.