Individual provider Active NPI

Corinne Jarvis, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Lake Oswego, OR
National Provider Identifier
1306099460
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
012681 Issued in OR
Practice address
15630 Boones Ferry Rd Ste 6
Lake Oswego, OR 97035-3455
Phone
(971) 346-0355
Fax
(833) 262-1495
NPI assigned
Nov 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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 012681 OR Primary

Addresses

Primary practice location

15630 Boones Ferry Rd Ste 6
Lake Oswego, OR 97035-3455

Mailing address

15630 Boones Ferry Rd Ste 6
Lake Oswego, OR 97035-3455
Phone (971) 346-0355

Other practice location 1

1445 Willamette St Ste 3
Eugene, OR 97401-4087
Phone (971) 346-0355

Other practice location 2

411 NE 6th Ave
Camas, WA 98607-2037
Phone (971) 346-0355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231204002575 OR Practitioner - Qualified Speech Language Pathologist 0446627699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Speechworks LLCGroup PAC ID 2668836065, 8 clinicians

Practice addresses (Care Compare)

15962 Boones Ferry Rd
Suite 204
Lake Oswego, OR 97035-4360
Phone (971) 346-0355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
012681ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Form Speech and Swallowing PLLC Speech-Language Pathologist Current Accepting new patients
Eugene Therapies Speech-Language Pathologist CurrentSince Sep 1, 2022 Accepting new patients

Locations

1445 Willamette St
Ste 3
Eugene, OR 97401
Phone (541) 286-5455

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1306099460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15630 BOONES FERRY RD STE 6",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353455",
            "telephone_number": "971-346-0355",
            "fax_number": "833-262-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15630 BOONES FERRY RD STE 6",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353455",
            "telephone_number": "971-346-0355",
            "fax_number": "833-262-1495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1445 Willamette St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974014087",
            "country_code": "US",
            "telephone_number": "971-346-0355",
            "fax_number": "833-262-1495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 NE 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Camas",
            "state": "WA",
            "postal_code": "986072037",
            "country_code": "US",
            "telephone_number": "971-346-0355",
            "fax_number": "833-262-1495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "CORINNE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-02",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "012681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.