Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619050747 Individual Practitioner Male Practitioner

Blaise Dennis Maxwell Scollard , PSYDMACCC

Speech-Language Pathologist • Clackamas, OR

Professional Overview & Biography Verified Profile Summary

Blaise Scollard, PSYDMACCC is a registered healthcare professional specializing in Speech-Language Pathologist in Clackamas, OR. Practice services are available at 10180 SE SUNNYSIDE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10180 Se Sunnyside Rd

Clackamas, OR 970158970

Telephone 5035713820
Fax 5035715838
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Clackamas, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.3 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
53 Specialists

Practicing in Clackamas, 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License OR 10394

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
28605 (OR)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Deborah Kallen , MSCCC-SLP

Speech-Language Pathologist

NPI 1073793832

MSCCCSLP

Lisa Crandall , MA CCC-SLP

Speech-Language Pathologist

NPI 1245342278

MACCCSLP

Christine Reed , PTA

Physical Therapy Assistant

NPI 1477704195

Physical Therapist Assistant

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 01, 2013

NPI status registered as active in NPPES database

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Updated Practice Location May 01, 2013

Registered at 10180 SE SUNNYSIDE RD, CLACKAMAS, OR 970158970 (Tel: 5035713820)

📍
Updated Business Mailing Address May 01, 2013

Registered at PO BOX 82608, PORTLAND, OR 972820608 (Tel: 5035713820)

👤
Provider Name / Credentials Updated May 01, 2013

Recorded as BLAISE SCOLLARD, PSY.D.M.A.CCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2013

Speech-Language Pathologist (License #10394 in OR)

🟢
Initial NPI Registration & Enumeration October 23, 2006

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: 1619050747
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2006
Last Update: May 01, 2013
Sole Proprietor: No

Mailing Address

Po Box 82608

Portland, OR 972820608

Phone: 5035713820

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.