Active NPI
Corinne Jarvis, M.S., CCC-SLP
- Speech-Language Pathologist
- Lake Oswego, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 012681
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 012681 | OR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Form Speech and Swallowing PLLC | Speech-Language Pathologist | Current | Accepting new patients |
| Eugene Therapies | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Lake Oswego, OR
- NPI 1922746619
-
- Speech-Language Pathologist
- Eugene, OR
- NPI 1730802216
-
- Speech-Language Pathologist
- Spokane, WA
- NPI 1053286120
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.