Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marisa Mooney

Individual provider Speech-Language Pathologist · NPI 1588393961

Marisa Mooney is a Qualified Speech Language Pathologist in Sandy, Oregon. Qualified in 2020, 6 years ago. Licensed in Oregon.

Years since qualifying
6
Licensed in
OR
In the registry since
2022

Practice location Address checks out

17420 Meinig Ave
Sandy, OR 97055-8068
Phone: (503) 427-0118
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 17914 (OR)

Record details

NPI number1588393961
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 9, 2022
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025
Mailing address17420 Meinig Ave, Sandy, OR 97055-8068

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated