Heather Ann Ballou Wells, M.A., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Gresham, OR
NPI 1467201277 · NPPES record last updated May 14, 2024
Key facts
- NPI
- 1467201277
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 011965 (OR)
- Practice address
- 1331 NW Eastman Pkwy
Gresham, OR 97030-3896 - Phone
- (503) 264-4653
- Fax
- (503) 261-4669
- NPI assigned
- May 14, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011965 | OR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multnomah County School District #U2-20JT | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 011965 | OR | Yes |
Addresses
Primary practice location
1331 NW Eastman Pkwy
Gresham, OR 97030-3896
Mailing address
39995 Mitchell CT
Sandy, OR 97055-9318
Phone (503) 914-7761
Other providers in Gresham, OR
- Tarah Baker
- Balance Chinese Medical Clinic, LLC
- Balance Health & Injury Clinic, PC
- Adelaide Ball
- Melissa Ballard
- Angela Balogh
- Aliah Baltazar
- Titas Banerjee
- Cecilia Marie Baranyk
- Jessica Ashley Barbosa
All providers in Gresham, OR · Speech-Language Pathologist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.