AURORA WICKSTROM (NPI# 1003365990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003365990 |
| Entity Type | Individual |
| Full Name | AURORA WICKSTROM |
| Practice Address |
41320 Nw Lodge Rd Banks OR 97106-7136 |
| Practice Telephone | 5038889013 |
| Mailing Telephone | 5038889013 |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
41320 NW LODGE RD |
| City | BANKS |
| State | OR |
| Zip Code | 97106-7136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487060562 | Kasey Webber | Specialist | 909 Sw 18th Ave, Portland, OR 97106 | 2014-07-09 |
| 1053558239 | Crystal Stachera | Marriage & Family Therapist | 42355 Nw Oak Way # 672, Banks, OR 97106-6021 | 2009-01-09 |
| 1346782125 | Heidi Brogdon | Massage Therapist | 12860 Nw Jarvis Pl Apt 4, Banks, OR 97106-6059 | 2016-11-10 |
| 1538707187 | Alison Marie Larson | Registered Nurse | 46780 Nw Graham Rd, Banks, OR 97106-7029 | 2019-12-13 |
| 1306396403 | Alexa Heilbrun | Respiratory Therapist, Certified | 18475 Nw North Star Dr, Banks, OR 97106-7235 | 2016-10-12 |
| 1245494947 | John Patrick Archer | Chiropractor | 40020 Nw Banks Rd, Banks, OR 97106-8500 | 2008-07-11 |
| 1255898847 | Ashtyn Paige Cottier | Assistant Behavior Analyst | 42055 Nw Covey Ln, Banks, OR 97106-8515 | 2019-03-01 |
| 1598905150 | Lynnette Irene Hofler | Registered Nurse | 50700 Nw Cedar Canyon Rd, Banks, OR 97106-8816 | 2009-02-23 |
| 1376819615 | Emily Elizabeth Tarleton | Specialist | 45319 Nw Hartwick Rd, Banks, OR 97106-8854 | 2012-03-30 |
| 1154624229 | A L Thompson Dmd PC & Assoc. | Dentist | 664 S Main St, Banks, OR 97106-9042 | 2010-12-13 |
| Find all providers in zip 97106 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456429 | Alexander Emile Burday | Speech-Language Pathologist | 9001 Nw Skyline Blvd, Portland, OR 97231-2623 | 2020-10-28 |
| 1326647538 | Holly Hamilton Peartree | Speech-Language Pathologist | 4 Camelot Ct, Lake Oswego, OR 97034-7304 | 2020-10-19 |
| 1710585963 | Beech Street Speech and Language LLC | Speech-Language Pathologist | 5724 Ne Beech St, Portland, OR 97213-3257 | 2020-10-10 |
| 1316544687 | Jennifer Coffey | Speech-Language Pathologist | 759 Se Washington St, Hillsboro, OR 97123-4229 | 2020-10-08 |
| 1881209245 | Adult Speech Therapy Solutions, LLC | Speech-Language Pathologist | 5900 N Albina Ave Apt 3, Portland, OR 97217-2289 | 2020-09-12 |
| 1255946067 | In Reach Speech-language Therapy LLC | Speech-Language Pathologist | 1246 Sw Falcon St, Portland, OR 97219-4341 | 2020-09-09 |
| 1063026367 | Tabitha Ruth Syme | Speech-Language Pathologist | 1106 Sw 4th Ave, Ontario, OR 97914-2130 | 2020-09-03 |
| 1922610278 | Kristina W Fredette | Speech-Language Pathologist | 34182 Thunder Cloud Dr, Eugene, OR 97405-9632 | 2020-08-18 |
| 1578173241 | Kelley Hickman | Speech-Language Pathologist | 897 S 55th Pl, Springfield, OR 97478-6978 | 2020-08-06 |
| 1528676756 | Charla Marie Breitigam | Speech-Language Pathologist | 370 Ne Williams Ave, Depoe Bay, OR 97341-1982 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on AURORA WICKSTROM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.