Wellformed AI

NPI 1639998685 · live from the CMS NPI Registry

Shani Joy Bender, MA/CCC-SLP

Speech-Language Pathologist, in Portland, OR. National Provider Identifier 1639998685, active.

NPI record

NPI1639998685 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location5208 Ne 122nd Ave, Portland, OR 97230
Practice phone503-256-6500
EnumeratedOctober 7, 2024
Last updatedOctober 7, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X012135 (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.