Provider Demographics
NPI:1508500521
Name:ASPIRE THERAPY
Entity Type:Organization
Organization Name:ASPIRE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / SPEECH LANG PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:HEID
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:SOBOTKA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:503-866-7866
Mailing Address - Street 1:27640 SE ORIENT DR
Mailing Address - Street 2:
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97080-8254
Mailing Address - Country:US
Mailing Address - Phone:503-866-7866
Mailing Address - Fax:
Practice Address - Street 1:7927 SE ORIENT DR
Practice Address - Street 2:
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97080-8847
Practice Address - Country:US
Practice Address - Phone:503-866-7866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine