Susan Ann Fodell in Portland - Speech-language Pathologist
Susan Ann Fodell - NPI 1205874096
Susan Ann Fodell is a Speech-language Pathologist in Portland, Oregon. Susan Ann Fodell practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Susan Ann Fodell is 1205874096. The last update date is 2007-07-17.
Susan Ann Fodell's current location address is 6327 Se Milwaukie Ave, Portland, Oregon. You can contact this provider via phone number 5034182268. The mailing address for Susan Ann Fodell is 6327 Se Milwaukie Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Ann Fodell |
|---|---|
| Address | 6327 Se Milwaukie Ave, Portland, Oregon |
| Phone Number | 5034182268 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | CCC-SLP |
NPI Number Detail
| NPI Number | 1205874096 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2007-07-17 |
Provider Mailing Address Detail
| Address | 6327 Se Milwaukie Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972025418 |
| Phone Number | 5034182268 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 12628 |
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Definition: 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. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 269736 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Susan Ann Fodell by the Centers for Medicare & Medicaid Services?
The Susan Ann Fodell has been assigned the NPI (National Provider Identifier) 1205874096 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Susan Ann Fodell's facilities are geographically located?
The facilities of Susan Ann Fodell are physically situated at the following location: 6327 Se Milwaukie Ave, Portland, OR, 972025418.
What is Susan Ann Fodell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Susan Ann Fodell is Speech-language Pathologist, and the taxonomy code that categorizes this field of expertise is 235Z00000X.
On what date did the Susan Ann Fodell receive its 1205874096 assignment from the Centers for Medicare & Medicaid Services?
The Susan Ann Fodell was assigned its 1205874096 by the Centers for Medicare & Medicaid Services on 2006-06-03.
As of what date was the information pertaining to Susan Ann Fodell, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Susan Ann Fodell, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-17.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH