Healthcare Provider Details

I. General information

NPI: 1508500521
Provider Name (Legal Business Name): ASPIRE THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2022
Last Update Date: 04/26/2022
Certification Date: 04/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7927 SE ORIENT DR
GRESHAM OR
97080-8847
US

IV. Provider business mailing address

27640 SE ORIENT DR
GRESHAM OR
97080-8254
US

V. Phone/Fax

Practice location:
  • Phone: 503-866-7866
  • Fax:
Mailing address:
  • Phone: 503-866-7866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: HEID SUE SOBOTKA
Title or Position: OWNER / SPEECH LANG PATHOLOGIST
Credential: MS., CCC-SLP
Phone: 503-866-7866