Provider Demographics
NPI:1215434279
Name:FELDMAN, SHARON ANN (SLP-CCC)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:ANN
Last Name:FELDMAN
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10280 SW CENTURY OAK DR
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97224-4643
Mailing Address - Country:US
Mailing Address - Phone:503-746-5225
Mailing Address - Fax:
Practice Address - Street 1:10280 SW CENTURY OAK DR
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97224-4643
Practice Address - Country:US
Practice Address - Phone:503-746-5225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-06
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR12783235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist