Caitlyn Gavin

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17144 Issued in OR

Practice address

17020 SW Upper Boones Ferry Rd Ste 201
Portland, OR 97224-7078

Phone

(503) 894-1539

Fax

(971) 353-5182

NPI assigned

Sep 21, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Caitlyn Kelleher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Parkwood Clinic LLC

  • Speech-Language Pathologist
  • Portland, OR
  • NPI 1124469325
  NPD (past)
• Legacy Salmon Creek Hospital

  • General Acute Care Hospital
  • Vancouver, WA
  • NPI 1700809829
  NPD (past)
• Xcite Steps, LLC

  • Behavior Analyst
  • San Diego, CA
  • NPI 1336581271
  NPD (past)

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1356825707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SW PARK AVE APT 406",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972013551",
            "telephone_number": "215-906-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17020 SW UPPER BOONES FERRY RD STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247078",
            "telephone_number": "503-894-1539",
            "fax_number": "971-353-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIN",
        "first_name": "CAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "17144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLYN",
            "last_name": "KELLEHER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sherie Gause, M,D,
• Forest Gauthier
• Jasper Marie Gauthier, LMT
• Marie Adele Gauthier, BEHAVIORAL THERAPIST
• Krista Lynn Gautsche, LCSW
• Grace Olivia Gavin
• Terry Gavin, CRM
• Nathalia Andrea Gaviria-Correa, FNP
• Milton J Gavlick, MD
• Anzhelika Gavrilovich

• Speech-Language Pathologist in Portland, OR
• Providers in Portland, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.