MEDICARE: MAKERSPACE SPEECH LANGUAGE AND COGNITION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1437088002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAKERSPACE SPEECH LANGUAGE AND COGNITION

Provider Business Mailing Address
First Line	:	27 TANGLEWOOD DR
Second Line	:
City	:	LAKE OSWEGO
State	:	OR
Zip	:	97035-1417
Country	:	US
Telephone Number	:	719-649-0413
Fax Number	:

Provider Business Practice Location Address
First Line	:	27 TANGLEWOOD DR
Second Line	:
City	:	LAKE OSWEGO
State	:	OR
Zip	:	97035-1417
Country	:	US
Telephone Number	:	719-649-0413
Fax Number	:

Authorized Official
Title or Position	:	OWNER/SPEECH LANGUAGE PATHOLOGIST
Name	:	MELISSA HORNUNG MAKERSPACE HORNUNG
Credential	:	CCC-SLP
Telephone Number	:	719-649-0413

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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Directions to “MAKERSPACE SPEECH LANGUAGE AND COGNITION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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