Active NPI
Christine Marie Miller, MS., CCC-SLP
- Speech-Language Pathologist
- Portland, OR
National Provider Identifier
1144497074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12757
- Practice address
- 1722 NW Raleigh St
Suite 318
Portland, OR 97209-1753 - Phone
- (503) 224-2820
- NPI assigned
- May 9, 2008
- Last updated
- May 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12757 | OR | Primary |
Addresses
Primary practice location
1722 NW Raleigh St
Suite 318
Portland, OR 97209-1753
Mailing address
4145 SE Cooper St
Portland, OR 97202-7755
Phone (503) 951-0348
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12757 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210291200000",
"number": "1144497074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4145 SE COOPER ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972027755",
"telephone_number": "503-951-0348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1722 NW RALEIGH ST",
"address_2": "SUITE 318",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972091753",
"telephone_number": "503-224-2820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"credential": "MS., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-09",
"last_updated": "2008-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "12757",
"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 May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.