Individual provider Active NPI

Christine Marie Studer

  • Speech-Language Pathologist
  • Portland, OR
National Provider Identifier
1134853013
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
17500 Issued in OR
Practice address
1610 SE Glenwood St
Portland, OR 97202-5615
Phone
(503) 383-1401
NPI assigned
Jul 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 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 17500 OR Primary

Addresses

Primary practice location

1610 SE Glenwood St
Portland, OR 97202-5615

Mailing address

1610 SE Glenwood St
Portland, OR 97202-5615
Phone (503) 383-1401

Other practice location 1

10260 SW Greenburg Rd
Tigard, OR 97223-5500
Phone (503) 383-1401

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
17500ORMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1134853013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 SE GLENWOOD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025615",
            "telephone_number": "503-383-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 SE GLENWOOD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025615",
            "telephone_number": "503-383-1401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10260 SW Greenburg Rd",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972235500",
            "country_code": "US",
            "telephone_number": "503-383-1401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUDER",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "17500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.