Active NPI
Grace Primrose Christensen, MS, CCC-SLP
- Speech-Language Pathologist
- Portland, OR
National Provider Identifier
1205483658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 016663
- Practice address
- 13635 NW Cornell Rd Ste 160
Portland, OR 97229-5885 - Phone
- (360) 989-7347
- NPI assigned
- Aug 21, 2019
- Last updated
- Mar 4, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SI60979070 | WA | |
| Speech-Language Pathologist | 235Z00000X | 016663 | OR | Primary |
Addresses
Primary practice location
13635 NW Cornell Rd Ste 160
Portland, OR 97229-5885
Mailing address
13635 NW Cornell Rd Ste 160
Portland, OR 97229-5885
Phone (360) 989-7347
Other practice location 1
16703 SE McGillivray Blvd Ste 170
Vancouver, WA 98683-4301
Phone (360) 989-7347
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 |
|---|---|---|---|
| 016663 | OR | MD | Speech-Language Pathologist |
| SI60979070 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleartalk Speech and Language Therapy, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Columba Pediatric Therapy
- Speech-Language Pathologist
- Vancouver, WA
- NPI 1972013977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741046400000",
"number": "1205483658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13635 NW CORNELL RD STE 160",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972295885",
"telephone_number": "360-989-7347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13635 NW CORNELL RD STE 160",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972295885",
"telephone_number": "360-989-7347"
}
],
"practiceLocations": [
{
"address_1": "16703 SE McGillivray Blvd Ste 170",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986834301",
"country_code": "US",
"telephone_number": "360-989-7347",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHRISTENSEN",
"first_name": "GRACE",
"middle_name": "PRIMROSE",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-21",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "SI60979070",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "016663",
"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 Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.