Active NPI
Melissa Hornung, CCC-SLP
- Speech-Language Pathologist
- Beaverton, OR
National Provider Identifier
1801787338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 17215
- Practice address
- 23839 SW Daniel Rd
Beaverton, OR 97078-5400 - Phone
- (503) 217-2058
- NPI assigned
- Jul 12, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 17215 | OR | Primary |
Addresses
Primary practice location
23839 SW Daniel Rd
Beaverton, OR 97078-5400
Mailing address
27 Tanglewood Dr
Lake Oswego, OR 97035-1417
Phone (719) 649-0413
Other practice location 1
27 Tanglewood Dr
Lake Oswego, OR 97035-1417
Phone (719) 649-0413
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 |
|---|---|---|---|
| 17215 | OR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Makerspace Speech Language and Cognition | Single Specialty | Current | Accepting new patients |
| Forward Stride | 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.
-
- Speech-Language Pathologist
- Lake Oswego, OR
- NPI 1437088002
Single Specialty
-
- Clinic/Center
- Beaverton, OR
- NPI 1437256013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752278400000",
"number": "1801787338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 TANGLEWOOD DR",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970351417",
"telephone_number": "719-649-0413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23839 SW DANIEL RD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970785400",
"telephone_number": "503-217-2058"
}
],
"practiceLocations": [
{
"address_1": "27 Tanglewood Dr",
"address_purpose": "LOCATION",
"city": "Lake Oswego",
"state": "OR",
"postal_code": "970351417",
"country_code": "US",
"telephone_number": "719-649-0413",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HORNUNG",
"first_name": "MELISSA",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-12",
"last_updated": "2025-07-12",
"certification_date": "2025-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "17215",
"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 Jul 12, 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.