CAMILLE RENEE JUNTUNEN (NPI# 1609828730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609828730 |
| Entity Type | Individual |
| Full Name | CAMILLE RENEE JUNTUNEN |
| Credential | MA,CCC/SLP |
| Practice Address |
1675 Sw Marlow Ave Ste 200 Portland OR 97225-5102 |
| Practice Telephone | 5032286479 |
| Practice Fax Number | 5032284248 |
| Mailing Telephone | 5032286479 |
| Mailing Fax Number | 5032284248 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2013-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 12173 | OR | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | BCBS | 026648000 | 01 |
| OR | TRICARE ID# | A003 | 01 |
| OR | TAX ID # | 930838454 | 01 |
| OR | PACIFICSOURCE ID# | B060403 | 01 |
| OR | 226618 | 05 |
| Street Address |
1675 SW MARLOW AVE STE 200 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687098 | Julius Carter | Behavior Technician | 1675 Sw Marlow Ave Ste 200, Portland, OR 97225-5102 | 2020-10-19 |
| 1346847027 | Alejandra Maria Landa | Behavior Technician | 1675 Sw Marlow Ave Ste 200, Portland, OR 97225-5102 | 2020-10-06 |
| 1801493630 | Drasti Patel | Behavior Technician | 1675 Sw Marlow Ave Ste 200, Portland, OR 97225-5102 | 2020-10-05 |
| 1346856184 | Kumulani Kaai | Behavior Technician | 1675 Sw Marlow Ave Ste 200, Portland, OR 97225-5102 | 2020-09-17 |
| 1245840875 | Abigail Lindros | Behavior Technician | 1675 Sw Marlow Ave Ste 200, Portland, OR 97225-5102 | 2020-08-07 |
| 1821608548 | Brooke Nicole Goette | Behavior Technician | 1675 Sw Marlow Ave Ste 200, Portland, OR 97225-5102 | 2020-08-06 |
| 1588287577 | Jaclyn Kate Schmidt | Behavior Technician | 1675 Sw Marlow Ave Ste 200, Portland, OR 97225-5102 | 2020-05-25 |
| 1780206334 | Kaylee M Combs | Behavior Technician | 1675 Sw Marlow Ave Ste 200, Portland, OR 97225-5102 | 2020-05-16 |
| 1952923666 | Jose Diaz | Behavior Technician | 1675 Sw Marlow Ave Ste 200, Portland, OR 97225-5102 | 2020-05-15 |
| 1417582420 | Amber Vivenzi | Behavior Technician | 1675 Sw Marlow Ave Ste 200, Portland, OR 97225-5102 | 2020-03-10 |
| 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 | 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 |
| 1710585963 | Beech Street Speech and Language LLC | Speech-Language Pathologist | 5724 Ne Beech St, Portland, OR 97213-3257 | 2020-10-10 |
| 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 |
| 1205453271 | Speak Read Write | Speech-Language Pathologist | 1714 Nw 32nd Ave, Portland, OR 97210-1910 | 2020-06-25 |
| 1033732888 | Emma Towne | Speech-Language Pathologist | 3840 Se Center St, Portland, OR 97202-3209 | 2020-05-27 |
| 1922628106 | Kimberly Lynn Dahl | Speech-Language Pathologist | 3303 Sw Bond Ave Fl Chh1, Portland, OR 97239-4501 | 2020-04-17 |
| 1316581358 | Kristin Shea Nyboer | Speech-Language Pathologist | 7065 Sw 92nd Ave, Portland, OR 97223-7124 | 2019-11-02 |
| 1538701024 | Susan Ashbury | Speech-Language Pathologist | 7311 N Lancaster Ave, Portland, OR 97217-5637 | 2019-10-16 |
| 1396393401 | Speechease Travel Therapy | Speech-Language Pathologist | 1535 Sw Clay St Apt 303, Portland, OR 97201-6126 | 2019-09-01 |
| 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.