BLAISE DENNIS MAXWELL SCOLLARD PSY.D.M.A.CCC
NPI 1619050747
Speech-Language Pathologist in Clackamas, OR

Q: What is Blaise Scollard's NPI number?

The NPI number for Blaise Scollard is 1619050747. It was assigned to this individual provider in the NPPES registry on October 23, 2006. The provider is also known as Mr. Blaise Dennis Maxwell Scollard M.A. Ccc Psy. D..

Q: What is Blaise Scollard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Blaise Scollard was last updated on May 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since October 23, 2006

10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 571-3820(503) 571-5838 Get Directions Write a Review

NPPES record last updated: May 1, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Blaise Dennis Maxwell Scollard Psy.d.m.a.ccc NPPES

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

BLAISE DENNIS MAXWELL SCOLLARD PSY.D.M.A.CCC (NPI 1619050747) is an individual speech-language pathologist provider in Clackamas, Oregon, licensed in Oregon (10394) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1619050747

Entity TypeIndividualMale

Primary Taxonomy235Z00000X

Provider Legal NameBLAISE DENNIS MAXWELL SCOLLARDCredential: PSY.D.M.A.CCC

Location Address10180 SE SUNNYSIDE RDClackamas, OR 97015-8970

Mailing AddressPo Box 82608Portland, OR 97282-0608 · (503) 571-3820

Phone(503) 571-3820

Fax(503) 571-5838

Sole ProprietorNo

Enumeration DateOctober 23, 2006

Last NPPES UpdateMay 1, 2013

✔ NPI 1619050747 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

License✔ Licensed in OR · 10394

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.

10180 SE SUNNYSIDE RD, Clackamas, OR 97015

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Other Names 1

Professional Name (2)Mr. Blaise Dennis Maxwell Scollard M.a. Ccc Psy. D.

Other Identifiers 1

Medicaid28605OR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIEL FORREST LOTSPEICH MD

Internal Medicine

10180 SE SUNNYSIDE RD, KAISER PERMANENTE DEPARTMENT OF INTERNAL MEDICINE
CLACKAMAS, OR 97015

Clackamas County (503) 652-2880

MEGAN LEA KELLY

Emergency Medicine

10180 SE SUNNYSIDE RD, KAISER SUNNYSIDE MEDICAL CENTER
CLACKAMAS, OR 97015

Clackamas County (503) 652-2880

JARROD L LARSON M.D.

Anesthesiology