Healthcare Provider Details

I. General information

NPI: 1811801186
Provider Name (Legal Business Name): JULIANN G RASK SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15121 SW SAPPHIRE DR
BEAVERTON OR
97007-8445
US

IV. Provider business mailing address

15121 SW SAPPHIRE DR
BEAVERTON OR
97007-8445
US

V. Phone/Fax

Practice location:
  • Phone: 503-502-6773
  • Fax:
Mailing address:
  • Phone: 503-502-6773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number012471
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: