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General NPI Number Information
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NPI Number | 1700721347
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Entity Type | Organization
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Legal Business Name | ELDERCONNECT THERAPY SERVICES LLC
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 650 HAWTHORNE AVE SE STE 150
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City | SALEM
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State | OR
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Zip | 97301-5894
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Country | US
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Telephone | 503-888-2521
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 241
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City | FOREST GROVE
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State | OR
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Zip | 97116-0241
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Country | US
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Telephone | 503-888-2521
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST AND OWN
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Name | EMILY SPROUL
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Credential | MS CCC-SLP
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Telephone | 503-888-2521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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