MEDICARE: SYNAPSE KIDS LLC

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	:	1922957141
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYNAPSE KIDS LLC

Provider Business Mailing Address
First Line	:	4804 NW BETHANY BLVD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97229-9195
Country	:	US
Telephone Number	:	503-407-8156
Fax Number	:

Provider Business Practice Location Address
First Line	:	12077 NW WELSH DR
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97229-8302
Country	:	US
Telephone Number	:	503-407-8156
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GAYATRI RAM
Credential	:	PHD., CCC-SLP
Telephone Number	:	503-407-8156

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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Directions to “SYNAPSE KIDS LLC ” Practice Location

Language	Start Address	Practice Location

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