Gina Marie Cavallio, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

13236 Issued in OR

Practice address

4900 NE 122ND Ave BLDG 1
Portland, OR 97230-1049

Phone

(503) 261-5535

NPI assigned

May 17, 2011

Last updated

Mar 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709942400000",
    "number": "1932492550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 NE 7TH AVE STE 110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986854545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 NE 122ND AVE BLDG 1",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972301049",
            "telephone_number": "503-261-5535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10000 NE 7th Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986854545",
            "country_code": "US",
            "telephone_number": "360-619-2462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVALLIO",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2024-03-09",
        "certification_date": "2024-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "13236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan David Caulley, PT
• Karla Rae Causeya, PSYD
• Ross A Cauthorn, MD
• Cauzi, LLC
• Alyssa M Cavalier
• Katherine Hyeon Cavallo Hom, M.D.
• Lisa Ellen Lewis Cavallo, LCSW
• Daniel Liam Cavanaugh
• Kristine Cavanaugh, LPC, CADC I
• Maria Moreno Cavanaugh, RN

• 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 Mar 9, 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.