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Katherine Coll Mabou

Speech-Language Pathologist β€’ Fairview, OR

Active NPI 1962271817 Individual Practitioner Female Practitioner
Practice location in NPPES

1204 Ne 201st Ave
Fairview, OR 970242499

Call 5036617200 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1204 Ne 201st Ave

Fairview, OR 970242499

Telephone 5036617200

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fairview and Oregon

10 active clinicians are listed under Speech-Language Pathologist with a practice address in Fairview, OR (2,091 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-20
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES OR 18134

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES LA 6524

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location September 20, 2024

Registered at 1204 NE 201ST AVE, FAIRVIEW, OR 970242499 (Tel: 5036617200)

πŸ“
Updated Business Mailing Address September 20, 2024

Registered at 1204 NE 201ST AVE, FAIRVIEW, OR 970242499 (Tel: 5036617200)

βœ…
NPI Profile Active December 20, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 20, 2023

Registered at 539 F EDWARD HEBERT BLVD, BELLE CHASSE, LA 700373016 (Tel: 5045956620)

πŸ“
Business Mailing Address (Initial Record) December 20, 2023

Registered at 1484 WOODLAND HWY, BELLE CHASSE, LA 700371672

πŸ‘€
Provider Name / Credentials (Initial Record) December 20, 2023

Recorded as KATHERINE MABOU

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2023

Speech-Language Pathologist (license number reported to NPPES: LA 6524)

🟒
Initial NPI Registration & Enumeration December 20, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1962271817
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2023
Last Update: September 20, 2024
Sole Proprietor: Yes

Mailing Address

1204 Ne 201st Ave

Fairview, OR 970242499

Phone: 5036617200

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.