Individual provider Active NPI

Michael La Scala, M.S. SLP-CCC

  • Speech-Language Pathologist
  • Portland, OR
National Provider Identifier
1336995802
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
5208 NE 122ND Ave
Portland, OR 97230-1074
Phone
(503) 261-5535
NPI assigned
Apr 25, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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 OR Primary

Addresses

Primary practice location

5208 NE 122ND Ave
Portland, OR 97230-1074

Mailing address

2128 NE Bridgecreek Ave Apt 84
Vancouver, WA 98664-1069

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

NPI Registry JSON

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1336995802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 NE BRIDGECREEK AVE APT 84",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5208 NE 122ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972301074",
            "telephone_number": "503-261-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA SCALA",
        "first_name": "MICHAEL",
        "credential": "M.S. SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.