Individual provider Active NPI

Jenna Elizabeth Mamula, M. S., CCC-SLP

  • Speech-Language Pathologist
  • Beaverton, OR
National Provider Identifier
1528801552
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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

Updated by the provider on Mar 31, 2025

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 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

OrganizationSpecialtyStatusNew patients
Kidscare Home Health of Oregon LLC PastSince Apr 6, 2025 Accepting new patients
Sensible Speech-Language Pathology, Inc Speech-Language Pathologist PastSince Jun 1, 2024 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.

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.

Verify at the official NPI Registry.