Callye Genevieve Hansen

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17477 Issued in OR

Practice address

1246 SW Falcon St
Portland, OR 97219-4341

Phone

(503) 421-8629

NPI assigned

May 12, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• In Reach Speech-Language Therapy LLC

  • Speech-Language Pathologist
  • Portland, OR
  • NPI 1255946067
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1114664059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10785 NW 20TH DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330714214",
            "telephone_number": "954-591-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 SW FALCON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972194341",
            "telephone_number": "503-421-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "CALLYE",
        "middle_name": "GENEVIEVE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "17477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda S Hansen, PA-C
• Amy Hansen
• Andrea J Hansen, MS
• April M Hansen, RNFA
• Beverly D Hansen, LCSW
• Charles Floyd Hansen, QMHA
• Darci Janell Hansen, MD
• Ella B Hansen
• Eric B. Hansen, MD
• Eric Keith Hansen, MD

• Speech-Language Pathologist in Portland, OR
• Providers in Portland, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.