NPI 1952858094 · live from the CMS NPI Registry
Alexis Bansberg, M.A
Speech-Language Pathologist, in Milwaukie, OR. National Provider Identifier 1952858094, active.
NPI record
| NPI | 1952858094 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 4560 Se International Way,, Ste 100, Milwaukie, OR 97222 |
| Practice phone | 971-206-5205 |
| Mailing address | 831 Coronado Center Dr Apt 3201, Henderson, NV 89052 |
| Enumerated | September 7, 2016 |
| Last updated | January 29, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 1987 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.