Individual provider Active NPI

Christianne Osborn, CCC-SLP

  • Speech-Language Pathologist
  • Vancouver, WA
National Provider Identifier
1114646544
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
61315336 Issued in WA
Practice address
3800 SE Hiddenbrook Dr
Vancouver, WA 98683-8274
Phone
(360) 604-6650
NPI assigned
Aug 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 61315336 WA Primary

Addresses

Primary practice location

3800 SE Hiddenbrook Dr
Vancouver, WA 98683-8274

Mailing address

PO Box 413
Tualatin, OR 97062-0413
Phone (503) 522-7065

Other practice location 1

13413 NE LeRoy Hagen Memorial Dr
Vancouver, WA 98684-5967
Phone (360) 604-6650 ext. 2526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
61315336WAMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1114646544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970620413",
            "telephone_number": "503-522-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 SE HIDDENBROOK DR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838274",
            "telephone_number": "360-604-6650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13413 NE LeRoy Hagen Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986845967",
            "country_code": "US",
            "telephone_number": "360-604-6650 x2526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "CHRISTIANNE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "61315336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.