Individual provider Active NPI

Aminah Kamawal, MS

  • Speech-Language Pathologist
  • Lake Oswego, OR
National Provider Identifier
1336922731
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
17903 Issued in OR
Practice address
15630 Boones Ferry Rd Ste 6
Lake Oswego, OR 97035-3455
Phone
(971) 346-0355
Fax
(833) 262-1495
NPI assigned
Aug 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 17903 OR Primary

Addresses

Primary practice location

15630 Boones Ferry Rd Ste 6
Lake Oswego, OR 97035-3455

Mailing address

15630 Boones Ferry Rd Ste 6
Lake Oswego, OR 97035-3455
Phone (971) 346-0355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260519001983 OR Practitioner - Qualified Speech Language Pathologist 4486123403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Speechworks LLCGroup PAC ID 2668836065, 8 clinicians

Practice addresses (Care Compare)

15962 Boones Ferry Rd
Suite 204
Lake Oswego, OR 97035-4360
Phone (971) 346-0355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
17903ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eugene Therapies Speech-Language Pathologist Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1336922731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15630 BOONES FERRY RD STE 6",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353455",
            "telephone_number": "971-346-0355",
            "fax_number": "833-262-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15630 BOONES FERRY RD STE 6",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353455",
            "telephone_number": "971-346-0355",
            "fax_number": "833-262-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMAWAL",
        "first_name": "AMINAH",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "17903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.