Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356124457 Individual Practitioner Female Practitioner

Stephanie Broussard

Speech-Language Pathologist • Portland, OR

Professional Overview & Biography Verified Profile Summary

Stephanie Broussard is a registered healthcare professional specializing in Speech-Language Pathologist in Portland, OR. Practice services are available at 3181 SW SAM JACKSON PARK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3181 Sw Sam Jackson Park Rd

Portland, OR 972393011

Telephone 2105001222
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
652 Specialists

Practicing in Portland, OR (2106 Statewide)

Telehealth Adoption Rate
0.2% 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: 2024-07-05
Speech-Language Pathologist Primary Specialty

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Donald Sullivan , MD

Internal Medicine - Pulmonary Disease

NPI 1003019621

Doctor of Medicine (M.D.)

Anjalee Rowe , NP

Nurse Practitioner - Acute Care

NPI 1003065640

Nurse Practitioner

Dr. Reem Hasan , MD

Internal Medicine

NPI 1003109935

Doctor of Medicine (M.D.)

Dr. Amanda Ball , PsyD

Psychologist - Clinical

NPI 1003116112

Doctor of Psychology (Psy.D.)

Sunshine Welsch , LMT

Massage Therapist

NPI 1003132747

Licensed Massage Therapist

Dr. Robert Mealer , MD, PhD

Psychiatry & Neurology - Psychiatry

NPI 1003157504

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 05, 2024

Registered at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR 972393011 (Tel: 2105001222)

📍
Updated Business Mailing Address July 05, 2024

Registered at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR 972393011 (Tel: 2105001222)

NPI Profile Active August 14, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2023

Registered at 3303 S BOND AVE, PORTLAND, OR 972394501 (Tel: 5034945947)

📍
Updated Business Mailing Address August 14, 2023

Registered at 925 SE CLATSOP ST, PORTLAND, OR 972027017 (Tel: 2105001222)

👤
Provider Name / Credentials Updated August 14, 2023

Recorded as STEPHANIE BROUSSARD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2023

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration August 14, 2023

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: 1356124457
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2023
Last Update: July 05, 2024
Sole Proprietor: No

Mailing Address

3181 Sw Sam Jackson Park Rd

Portland, OR 972393011

Phone: 2105001222

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.