Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Randolph Wes Smith, SLP

Individual provider Speech-Language Pathologist · NPI 1487176657

Randolph Wes Smith, SLP is a Qualified Speech Language Pathologist in Beaverton, Oregon. Qualified in 2016, 10 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon and Texas.

Years since qualifying
10
Licensed in
OR, TX
In the registry since
2017
Specialties on file
2
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

12345 SW Horizon Blvd Ste 57
Beaverton, OR 97007-9475
Phone: (503) 216-8825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2525 Wallingwood Dr Bldg 2, Austin, TX 78746-6900 — (512) 327-6179
  • 8500 Bluffstone Cv Ste 105, Austin, TX 78759-7808 — (512) 327-6179

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 016287 (OR)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 112945 (TX)

Record details

NPI number1487176657
Entity typeIndividual (Type 1)
GenderMale
Credentials SLP
Sole proprietorNo
NPI enumeratedJuly 10, 2017
Last updated in NPPESJuly 21, 2022
Certification dateSeptember 11, 2020
Mailing addressPo Box 3158, Portland, OR 97208-3158

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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