Individual provider Active NPI

Melissa Hornung, CCC-SLP

  • Speech-Language Pathologist
  • Beaverton, OR
National Provider Identifier
1801787338
Registry record updated Jul 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
17215 Issued in OR
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

Updated by the provider on Jul 12, 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 PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
17215ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Makerspace Speech Language and Cognition Single Specialty CurrentSince Jul 13, 2025 Accepting new patients
Forward Stride PastSince Jul 13, 2025 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": "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.

Verify at the official NPI Registry.