Active NPI
Jenna Elizabeth Mamula, M. S., CCC-SLP
- Speech-Language Pathologist
- Beaverton, OR
National Provider Identifier
1528801552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 8625 SW Cascade Ave Ste 320
Beaverton, OR 97008-7126 - Phone
- (877) 755-8940
- NPI assigned
- Jun 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
8625 SW Cascade Ave Ste 320
Beaverton, OR 97008-7126
Mailing address
8625 SW Cascade Ave Ste 320
Beaverton, OR 97008-7126
Phone (877) 755-8940
Other practice location 1
113 N Elm St
Canby, OR 97013-3519
Phone (503) 263-8903
Other practice location 2
27501 SW 95th Ave Ste 960
Wilsonville, OR 97070-7713
Phone (503) 263-8903
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidscare Home Health of Oregon LLC | Past | Accepting new patients | |
| Sensible Speech-Language Pathology, Inc | Speech-Language Pathologist | Past | 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.
-
- Home Health Agency
- Beaverton, OR
- NPI 1205446135
-
- Speech-Language Pathologist
- Salem, OR
- NPI 1144645102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1528801552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8625 SW CASCADE AVE STE 320",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970087126",
"telephone_number": "877-755-8940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8625 SW CASCADE AVE STE 320",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970087126",
"telephone_number": "877-755-8940"
}
],
"practiceLocations": [
{
"address_1": "113 N Elm St",
"address_purpose": "LOCATION",
"city": "Canby",
"state": "OR",
"postal_code": "970133519",
"country_code": "US",
"telephone_number": "503-263-8903",
"fax_number": "503-266-8632",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "27501 SW 95th Ave Ste 960",
"address_purpose": "LOCATION",
"city": "Wilsonville",
"state": "OR",
"postal_code": "970707713",
"country_code": "US",
"telephone_number": "503-263-8903",
"fax_number": "503-266-8632",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAMULA",
"first_name": "JENNA",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "M. S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-17",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.