Wellformed AI

NPI 1659253243 · live from the CMS NPI Registry

Mckenzie Abudakar, MS, SLP

Speech-Language Pathologist, in Portland, OR. National Provider Identifier 1659253243, active.

NPI record

NPI1659253243 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location17020 Sw Upper Boones Ferry Rd Ste 201, Portland, OR 97224
Practice phone503-894-1539
EnumeratedJuly 23, 2025
Last updatedJuly 23, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X18341 (OR)

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