Active NPI
Glen Hams, SLPA
- Speech-Language Assistant
- Troutdale, OR
National Provider Identifier
1548087745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- A0515
- Practice address
- 2408 SW Halsey St BLDG J
Troutdale, OR 97060-1020 - Phone
- (503) 358-3679
- NPI assigned
- Sep 20, 2024
- Sex
- Male
- 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 Assistant | 2355S0801X | A0515 | OR | Primary |
Addresses
Primary practice location
2408 SW Halsey St BLDG J
Troutdale, OR 97060-1020
Mailing address
1938 SW 8TH Dr
Gresham, OR 97080-6510
Phone (503) 358-3679
Other practice location 1
1698 SW Cherry Park Rd
Troutdale, OR 97060-1481
Phone (503) 667-3186
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A0515 | OR | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1548087745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1938 SW 8TH DR",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970806510",
"telephone_number": "503-358-3679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2408 SW HALSEY ST BLDG J",
"city": "TROUTDALE",
"state": "OR",
"postal_code": "970601020",
"telephone_number": "503-358-3679"
}
],
"practiceLocations": [
{
"address_1": "1698 SW Cherry Park Rd",
"address_purpose": "LOCATION",
"city": "Troutdale",
"state": "OR",
"postal_code": "970601481",
"country_code": "US",
"telephone_number": "503-667-3186",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMS",
"first_name": "GLEN",
"credential": "SLPA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-20",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "OR",
"license": "A0515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troutdale, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.