Active NPI
Karla Gill
- Speech-Language Pathologist
- Portland, OR
National Provider Identifier
1477100170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 15146
- Practice address
- 11626 SW 49TH Ave
Portland, OR 97219-7309 - Phone
- (503) 577-2526
- NPI assigned
- Aug 19, 2019
- 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 | 15146 | OR | Primary |
Addresses
Primary practice location
11626 SW 49TH Ave
Portland, OR 97219-7309
Mailing address
11626 SW 49TH Ave
Portland, OR 97219-7309
Phone (503) 577-2526
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15146 | OR | MD | Forensic Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy Services Inc | 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 and National Provider Directory roles.
-
- Pediatric Occupational Therapist
- Gresham, OR
- NPI 1700842531
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1477100170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11626 SW 49TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972197309",
"telephone_number": "503-577-2526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11626 SW 49TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972197309",
"telephone_number": "503-577-2526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "KARLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-19",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "15146",
"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 Oct 14, 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.