Cheri Dodge Chin, CLINSCD, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12279 Issued in OR

Practice address

7927 SE Orient Dr
Gresham, OR 97080-8847

Phone

(503) 663-0481

NPI assigned

Dec 7, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1871360958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13203 SE 172ND AVE",
            "address_2": "SUITE 166, PMB 2068",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970868738",
            "telephone_number": "503-882-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7927 SE ORIENT DR",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970808847",
            "telephone_number": "503-663-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "CHERI",
        "middle_name": "DODGE",
        "name_prefix": "Dr.",
        "credential": "CLINSCD, CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "12279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Cheng, PHARM.D.
• Irena P Cheredayko
• Cheryl C. Tidball DO PC
• Chestnut Lane Operations LLC
• Melissa E Childs
• Marc Francis Chinard, MS, LCSW
• Tyler Clark Chipman, PMHNP
• Ann Chiu
• James Sok Chong, DO
• Stephen K. Choong, M.D.

• Speech-Language Pathologist in Gresham, OR
• Providers in Gresham, 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 Jan 17, 2024; 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.