IndividualActive
Lauren Jackson, CCC-SLP
NPI 1255049508 · Speech-Language Pathologist · Brush Prairie, WA
Provider details
- NPI number
- 1255049508
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- LL61341787 (WA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17912 Ne 159th St
Brush Prairie, WA 98606-9613
Phone: (360) 448-6400
Street-level locationGet directions
Mailing address
4309 Ne 105th Ave
Portland, OR 97220-3447
Registry dates
- Enumerated
- 2022-11-07
- Last updated
- 2022-11-07
- Certified
- 2022-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.