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Active NPI 1477197994 Organization (Entity Type 2)

Risa Itani Ms Ccc-Slp

Speech-Language Pathologist • Bend, OR

About Risa Itani Ms Ccc-Slp NPI 1477197994 Summary

Risa Itani Ms Ccc-Slp is a verified healthcare organization specializing in Speech-Language Pathologist operating in Bend, OR. Located at 235 SE DAVIS AVE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1477197994.

Administrative operations and authorized compliance are overseen by Risa Itani (Sole Member/Manager).

The facility is associated with 6 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

235 Se Davis Ave

Bend, OR 977021333

Telephone 5412416153

Authorized Official Information

Authorized Contact Name

Risa Itani , MS CCC-SLP

Title / Role

Sole Member/manager

Official Telephone

3522096494

Facility Classifications & Specialties

Speech-Language Pathologist Primary Taxonomy

NUCC Taxonomy Code: 235Z00000X

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.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

6 Linked

Emily Irwin , LMT NPI 1215681671

Massage Therapist

Bend, OR

View Practitioner Profile →

Kali Lane , LMT NPI 1316327794

Massage Therapist

Bend, OR

View Practitioner Profile →

Wendy Daray , LMT NPI 1689029738

Massage Therapist

Bend, OR

View Practitioner Profile →

Monica Stefanac , LMT NPI 1770312589

Massage Therapist

Bend, OR

View Practitioner Profile →

Wendee Daniels , LAC NPI 1841340775

Acupuncturist

Bend, OR

View Practitioner Profile →

Christine Brandt , LMT NPI 1992070262

Massage Therapist

Bend, OR

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active October 31, 2019

NPI status registered as active in NPPES database

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Updated Practice Location October 31, 2019

Registered at 235 SE DAVIS AVE, BEND, OR 977021333 (Tel: 5412416153)

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Updated Business Mailing Address October 31, 2019

Registered at 1240 SW 16TH ST, REDMOND, OR 977562906 (Tel: 3522096494)

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Organization / Clinic Name Updated October 31, 2019

Operating as RISA ITANI MS CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2019

Speech-Language Pathologist

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Initial NPI Registration & Enumeration October 29, 2019

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1477197994

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: October 29, 2019

Last Update: October 31, 2019

Update or Correct Listing

Mailing Address

1240 Sw 16th St

Redmond, OR 977562906

Phone: 3522096494

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.