Individual provider Active NPI

Christine Corl, SLP

  • Speech-Language Pathologist
  • Portland, OR
National Provider Identifier
1538385802
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
17385 Issued in OR
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

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
146.008759OtherILSTATE LICENSE
2043889MedicaidWA
12096071OtherILASHA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA, CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230316002892 OR Practitioner - Qualified Speech Language Pathologist 3274907043 Reassigns benefits to 1 organization
I20241105000491 WA Practitioner - Qualified Speech Language Pathologist 3274907043 Reassigns benefits to 1 organization
I20251022001538 CA Practitioner - Qualified Speech Language Pathologist 3274907043 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
Group practices
Hona Medical Group PAGroup PAC ID 9032641113, 7 clinicians

Practice addresses (Care Compare)

Lake Oswego, OR 97035
Phone (847) 157-0045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38249CAMDGeneral Practice Dentistry
146.008759ILMDSpeech-Language Pathologist
17385ORMDSpeech-Language Pathologist
LL60507478WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hona Medical Group PA Speech-Language Pathologist CurrentSince Aug 26, 2024 Accepting new patients
Hona Medical Group of California PC Speech-Language Pathologist CurrentSince Feb 25, 2025 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.

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.

Verify at the official NPI Registry.