Active NPI
Christine Corl, SLP
- Speech-Language Pathologist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 17385
- Practice address
- 9135 SW Barnes Rd Ste 561
Portland, OR 97225-6643 - Phone
- (503) 216-2339
- NPI assigned
- Apr 17, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.008759 | IL | |
| Speech-Language Pathologist | 235Z00000X | LL60507478 | WA | |
| Speech-Language Pathologist | 235Z00000X | 17385 | OR | Primary |
Addresses
Primary practice location
9135 SW Barnes Rd Ste 561
Portland, OR 97225-6643
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494
Other practice location 1
3600 Lind Ave SW Ste 160
Renton, WA 98057
Phone (425) 690-3513
Other practice location 2
660 N Westmoreland Rd
Suite 900 LL-78
Lake Forest, IL 60045-1659
Phone (847) 535-6870
Other practice location 3
660 N Westmoreland Rd
Suite 900 LL-78
Lake Forest, IL 60045-1659
Phone (847) 535-6870
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146.008759 | Other | IL | STATE LICENSE |
| 2043889 | Medicaid | WA | |
| 12096071 | Other | IL | ASHA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA, CA
Enrollment records 3
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
- Group practices
Practice addresses (Care Compare)
Lake Oswego, OR 97035
Phone (847) 157-0045
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38249 | CA | MD | General Practice Dentistry |
| 146.008759 | IL | MD | Speech-Language Pathologist |
| 17385 | OR | MD | Speech-Language Pathologist |
| LL60507478 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hona Medical Group PA | Speech-Language Pathologist | Current | Accepting new patients |
| Hona Medical Group of California PC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
95 3rd St
San Francisco, CA 94103
Phone (414) 640-9090
6303 Waterford District Dr
Ste 400
Miami, FL 33126
Phone (786) 801-1571
5 Centerpointe Dr
Ste 400
Lake Oswego, OR 97035
Phone (503) 784-3489
701 NE 136th Ave
Ste 200
Vancouver, WA 98684
Phone (253) 400-8338
Organizations & group practices 2
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
- San Francisco, CA
- NPI 1841036241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1538385802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158",
"telephone_number": "503-215-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9135 SW BARNES RD STE 561",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256643",
"telephone_number": "503-216-2339"
}
],
"practiceLocations": [
{
"address_1": "3600 Lind Ave SW Ste 160",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "98057",
"country_code": "US",
"telephone_number": "425-690-3513",
"fax_number": "425-390-9513",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "660 N Westmoreland Rd",
"address_2": "Suite 900 LL-78",
"address_purpose": "LOCATION",
"city": "Lake Forest",
"state": "IL",
"postal_code": "600451659",
"country_code": "US",
"telephone_number": "847-535-6870",
"fax_number": "847-535-7847",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "660 N Westmoreland Rd",
"address_2": "Suite 900 LL-78",
"address_purpose": "LOCATION",
"city": "Lake Forest",
"state": "IL",
"postal_code": "600451659",
"country_code": "US",
"telephone_number": "847-535-6870",
"fax_number": "847-535-7847",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORL",
"first_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.008759",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL60507478",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "17385",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "146.008759",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2043889",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA",
"identifier": "12096071",
"state": "IL"
}
],
"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 Apr 21, 2023; 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.