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

Stephanie Broussard

Individual provider Speech-Language Pathologist · NPI 1356124457

Stephanie Broussard is a Speech-Language Pathologist in Portland, Oregon. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (210) 500-1222
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1356124457
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 14, 2023
Last updated in NPPESJuly 5, 2024
Certification dateJuly 5, 2024
Mailing address3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011

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