Individual provider Active NPI

Madelyn Ueland, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Tigard, OR
National Provider Identifier
1447834502
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
17055 Issued in OR
Practice address
7420 SW Hunziker Rd Ste B
Tigard, OR 97223-8242
Phone
(503) 853-0959
NPI assigned
May 5, 2021
Last updated
Jun 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 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 17055 OR Primary

Addresses

Primary practice location

7420 SW Hunziker Rd Ste B
Tigard, OR 97223-8242

Mailing address

5411 SW Dolph Dr
Portland, OR 97219-3243
Phone (503) 853-0959

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

LicenseStateTypeSpecialty
17055ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Madelyn Ueland LLC Speech-Language Pathologist CurrentSince Sep 10, 2023 Accepting new patients
Parkwood Clinic LLC Speech-Language Pathologist Past Accepting new patients

Locations

7420 SW Hunziker Rd
Ste B
Tigard, OR 97223
Phone (503) 853-0959

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1447834502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 SW DOLPH DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193243",
            "telephone_number": "503-853-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 SW HUNZIKER RD STE B",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238242",
            "telephone_number": "503-853-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UELAND",
        "first_name": "MADELYN",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "17055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.