Active NPI
Ashley Northam, M.S. CCC-SLP
- Speech-Language Pathologist
- Hillsboro, OR
National Provider Identifier
1225300221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12641
- Practice address
- 696 NW Tree Haven Dr
Hillsboro, OR 97124-2375 - Phone
- (503) 502-5390
- Fax
- (503) 214-5400
- NPI assigned
- Feb 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12641 | OR | Primary |
Addresses
Primary practice location
696 NW Tree Haven Dr
Hillsboro, OR 97124-2375
Mailing address
696 NW Tree Haven Dr
Hillsboro, OR 97124-2375
Phone (503) 502-5390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12641 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328572800000",
"number": "1225300221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "696 NW TREE HAVEN DR",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971242375",
"telephone_number": "503-502-5390",
"fax_number": "503-214-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "696 NW TREE HAVEN DR",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971242375",
"telephone_number": "503-502-5390",
"fax_number": "503-214-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTHAM",
"first_name": "ASHLEY",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-07",
"last_updated": "2012-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "12641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.