FOUNDATIONS FOR LIFE CLINIC LLC
NPI 1285356360
Speech-Language Pathologist in Lakeside, OR

Active since September 14, 2022
70909 DEVORE ARM RD, LAKESIDE, OR 97449(737) 787-7367 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Foundations For Life Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOUNDATIONS FOR LIFE CLINIC LLC (NPI 1285356360), doing business as Manzano Speech Therapy, is a healthcare organization registered as a speech-language pathologist in Lakeside, Oregon and active in the NPI registry since September 2022. The organization lists Mary T Manzano, Member, as its authorized official.

NPPES Registry Identity

NPI1285356360
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameFOUNDATIONS FOR LIFE CLINIC LLC
Location Address70909 DEVORE ARM RDLakeside, OR 97449-8502
Mailing AddressPo Box 242Lakeside, OR 97449-0242 · (737) 787-7367
Organization SubpartNo
Authorized OfficialMary T ManzanoMember · (737) 787-7367
Enumeration DateSeptember 14, 2022
NPPES CertifiedSeptember 14, 2022
NPI 1285356360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
70909 DEVORE ARM RD, Lakeside, OR 97449

Other Names 1

Doing Business AsManzano Speech Therapy

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Foundations For Life Clinic LLC's NPI number?

The NPI number for Foundations For Life Clinic LLC is 1285356360. It was assigned to this organization in the NPPES registry on September 14, 2022. The provider is doing business as Manzano Speech Therapy.

Where is Foundations For Life Clinic LLC located?

Foundations For Life Clinic LLC is located at 70909 Devore Arm Rd, Lakeside, OR 97449. The listed phone number is (737) 787-7367.

What is Foundations For Life Clinic LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Foundations For Life Clinic LLC was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.