MEDICARE: MARA WHITNEY MCLOUGHLIN CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	13526	OR

General Provider Information

NPI Number	:	1821377490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARA WHITNEY MCLOUGHLIN CCC-SLP

Provider Business Mailing Address
First Line	:	PO BOX 13638
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97213-0638
Country	:	US
Telephone Number	:	503-888-4949
Fax Number	:

Provider Business Practice Location Address
First Line	:	2905 SE GRANT ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97214-5644
Country	:	US
Telephone Number	:	503-888-4949
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2011
Last Update Date	:	06/23/2014

Similar Medicare Providers

1629733159 — ABIGAIL ELISE QUARTERMAN OTR/L, OTD
Practice Location Address:

5243 NE 21ST AVE
PORTLAND, OR
97211-5644

Practice Phone: 206-375-0293
Practice Fax:

1558299867 — MATTHEW TOBECK
Practice Location Address:

5644 SE KNIGHT ST
PORTLAND, OR
97206-6024

Practice Phone: 612-701-2992
Practice Fax:

1003442864 — ZANE LAMPROPOULOS
Practice Location Address:

711 SE ANKENY ST STE B
PORTLAND, OR
97214-1215

Practice Phone: 503-383-9643
Practice Fax: 503-214-5545

1700268067 — LAUREL FUSON-LANG PSYD
Practice Location Address:

905 SE 14TH AVE
PORTLAND, OR
97214-2569

Practice Phone: 503-622-8964
Practice Fax:

1508799826 — POSITIVE MEDICINE LLC
Practice Location Address:

3942 SE HAWTHORNE BLVD
PORTLAND, OR
97214-5242

Practice Phone: 503-386-9516
Practice Fax: 503-386-2831

1275535221 — SUZANNE LORRAINE AUGUST N.P.
Practice Location Address:

3060 SE HAWTHORNE BLVD
PORTLAND, OR
97214-4121

Practice Phone: 844-966-6777
Practice Fax:

Directions to “ MARA WHITNEY MCLOUGHLIN CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.