NPI 1487412599 · live from the CMS NPI Registry
Montgomery Grant Bassow
Speech-Language Pathologist, in Portland, OR. National Provider Identifier 1487412599, active.
NPI record
| NPI | 1487412599 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 5208 Ne 122nd Ave, Portland, OR 97230 |
| Practice phone | 503-256-6500 |
| Enumerated | March 12, 2024 |
| Last updated | March 12, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 013472 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.