LAUREN FORRESTER CLANCEY (NPI# 1265809966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265809966 |
| Entity Type | Individual |
| Full Name | LAUREN FORRESTER CLANCEY |
| Credential | AU.D |
| Practice Address |
9155 Sw Barnes Rd Suite 536 Portland OR 97225-6625 |
| Mailing Address |
847 Ne 19th Ave Suite 300 Portland OR 97232-2684 |
| Practice Telephone | 5039358100 |
| Practice Fax Number | 5039358110 |
| Mailing Telephone | 5039632801 |
| Mailing Fax Number | 5039632825 |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2017-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 30834 | OR | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | AUDIOLOGY LICENSE | 30834 | 01 |
| OR | 500691342 | 05 | |
| WA | 2072951 | 05 |
| Street Address |
9155 SW BARNES RD SUITE 536 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-6625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657052 | Nancy Lynn Spencer | Nurse Practitioner | 9155 Sw Barnes Rd, Ste 740, Portland, OR 97225-6634 | 2005-05-27 |
| 1366918518 | Emily Secter | Occupational Therapist | 9155 Sw Barnes Rd, Portland, OR 97225 | 2018-10-15 |
| 1154806479 | Nicole Kuhl | Occupational Therapist | 9155 Sw Barnes Rd, Portland, OR 97225-6625 | 2018-10-02 |
| 1497267199 | Kolten William Paryzek | Physician Assistant | 9155 Sw Barnes Rd, Portland, OR 97225-6625 | 2017-11-02 |
| 1275077463 | Carolyn Durfee | Speech-Language Pathologist | 9155 Sw Barnes Rd, East Pavilion, Portland, OR 97225-6625 | 2016-12-07 |
| 1013466549 | Kimberly Grady | Physician Assistant | 9155 Sw Barnes Rd, Suite 321, Portland, OR 97225-6625 | 2016-09-26 |
| 1811443054 | Christie Veenkamp | Speech-Language Pathologist | 9155 Sw Barnes Rd, East Pavilion - PCdi (prov Children's Devel. Institute), Portland, OR 97225-6625 | 2016-08-28 |
| 1063967628 | Suzanne Mckenzie | Speech-Language Pathologist | 9155 Sw Barnes Rd, Portland, OR 97225-6625 | 2016-08-23 |
| 1720533516 | Amanda Margolin | Dietitian, Registered | 9155 Sw Barnes Rd, Suite 161, Portland, OR 97225-6625 | 2016-08-22 |
| 1053865592 | Ashleigh B Connell | Speech-Language Pathologist | 9155 Sw Barnes Rd, Children's Development Institute, East Pavilion, Portland, OR 97225-6625 | 2016-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629624945 | Lisa Ann Fratini | Audiologist | 3181 Sw Sam Jackson Park Rd Ste 250, Portland, OR 97239-3011 | 2019-08-13 |
| 1548739097 | Danielle Garrido | Audiologist | 12724 Se Stark St Bldg H, Portland, OR 97233-1539 | 2018-11-14 |
| 1548745540 | Alyce Schott | Audiologist | 3181 Sw Sam Jackson Park Rd Ste 250.36, Portland, OR 97239-3098 | 2018-09-26 |
| 1518440080 | Lauren Marie Rynders | Audiologist | 919 Ne 19th Ave Ste 170, Portland, OR 97232-2210 | 2018-09-11 |
| 1053894626 | Oriana P Maldonado | Audiologist | 501 N Graham St Ste 320, Portland, OR 97227-2001 | 2018-09-10 |
| 1083195317 | Kimberly Michiko Nakayama | Audiologist | 2230 Nw Pettygrove St Ste 120, Portland, OR 97210-2659 | 2018-08-24 |
| 1295277622 | Amanda Ruth Kidman | Audiologist | 13003 Sw Brianne Way, Portland, OR 97223 | 2016-11-16 |
| 1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
| 1548633266 | Rachel Wilson | Audiologist | 919 Ne 19th Ave, 170, Portland, OR 97232-2210 | 2015-11-03 |
| 1134520604 | Paul Pendergraft | Audiologist | 316 Ne 60th Ave, Apt A1, Portland, OR 97213-3765 | 2014-09-15 |
| Find all providers in PORTLAND | ||||
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| 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.