Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518722016 Individual Practitioner Male Practitioner

Otis Heavenrich

Speech-Language Pathologist • Astoria, OR

Professional Overview & Biography Verified Profile Summary

Otis Heavenrich is a registered healthcare professional specializing in Speech-Language Pathologist in Astoria, OR. Practice services are available at 785 ALAMEDA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

785 Alameda Ave

Astoria, OR 971035947

Telephone 5033388225

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Astoria, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
11 Specialists

Practicing in Astoria, OR (2106 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-02-14
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License OR 14050779

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Lori Dyer , MS, CCC-SLP

Speech-Language Pathologist

NPI 1255197166

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Iris Douglas , CCC-SLP

Speech-Language Pathologist

NPI 1427800192

Speech-Language Pathologist (Certificate of Clinical Competence)

Yasmin Fendish

Occupational Therapist

NPI 1477216570
Chelsea Tumbarello

Speech-Language Pathologist

NPI 1881286805

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 14, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location February 14, 2024

Registered at 785 ALAMEDA AVE, ASTORIA, OR 971035947 (Tel: 5033388225)

📍
Updated Business Mailing Address February 14, 2024

Registered at 35218 MUDD LN, ASTORIA, OR 971038337 (Tel: 5033388225)

👤
Provider Name / Credentials Updated February 14, 2024

Recorded as OTIS HEAVENRICH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2024

Speech-Language Pathologist (License #14050779 in OR)

🟢
Initial NPI Registration & Enumeration February 14, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518722016
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2024
Last Update: February 14, 2024
Sole Proprietor: No

Mailing Address

35218 Mudd Ln

Astoria, OR 971038337

Phone: 5033388225

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.