Stephanie Broussard, - Speech-Language Pathologist in Portland, OR

Stephanie Broussard, is a Speech-language Pathologist based in Portland, Oregon. Stephanie Broussard is licensed to practice in * (Not Available) (license number ) and her current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at (210) 500-1222.

NPI number for Stephanie Broussard is 1356124457 and her current mailing address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356124457.

Contact Information

Stephanie Broussard,
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011
(210) 500-1222
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameStephanie Broussard
GenderFemale
SpecialitySpeech-language Pathologist
Location3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356124457
  • Provider Enumeration Date: 08/14/2023
  • Last Update Date: 07/05/2024

Medical Identifiers

Medical identifiers for Stephanie Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356124457NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Broussard is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stephanie Broussard,
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011

Ph: (210) 500-1222
Stephanie Broussard,
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011

Ph: (210) 500-1222

Reviews and Comments


Speech-Language Pathologist in Portland, OR

Mira E Shah, M.S. CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 2855 Se 61st Avenue, Portland, OR 97206
Phone: 503-348-0931    
Ann Sexton,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 6801 Se 60th Ave, Portland, OR 97206
Phone: 503-916-2000    
Jerae Bjelland,
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Medicare: Not Enrolled in Medicare
Practice Location: 501 N Dixon St, Portland, OR 97227
Phone: 503-916-2000    
Hearing & Speech Institute
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225
Phone: 503-228-6479    Fax: 503-228-4248
Dr. Philip J Levinson, PH.D.
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1507 Sw Morrison St, Suite A, Portland, OR 97205
Phone: 503-226-1048    Fax: 503-226-1049
Katherine Rhodes, MS
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 730 Ne 148th Ave, Portland, OR 97230
Phone: 503-262-9359    
Ms. Brenda Joy Nuckton,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 0270 Sw Palatine Hill Rd, Portland, OR 97219
Phone: 503-236-4940    

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