Jennifer Callero, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

013616 Issued in OR

Practice address

5208 NE 122ND Ave
Portland, OR 97230-1074

Phone

(503) 261-5535

NPI assigned

Mar 21, 2024

Last updated

Mar 21, 2024By the provider in NPPES

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

Other names 1

• Jenny Callero Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1437919768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7032 NE 10TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972114081"
        },
        {
            "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": "CALLERO",
        "first_name": "JENNIFER",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "013616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "CALLERO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rochelle Callanan
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• Theodore Callaway
• Abigayle Marie Callender, AU.D.
• Marcia Nilene Callender, NP
• Megan Calley, RN
• Nicholas Calley, MD
• Leila Calliham, MSW
• April Callister, PA-C
• Calm Acupuncture LLC

• 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 Mar 21, 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.