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Active NPI 1265188619 Individual Practitioner Female Practitioner

Alexandria Vidalon , MS, CCC-SLP

Speech-Language Pathologist • Lake Oswego, OR

Professional Overview & Biography Verified Profile Summary

Alexandria Vidalon, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Lake Oswego, OR. Practice services are available at 15630 BOONES FERRY RD STE 6 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15630 Boones Ferry Rd Ste 6

Lake Oswego, OR 970353455

Telephone 9713460355
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Lake Oswego, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.3 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
22 Specialists

Practicing in Lake Oswego, OR (2106 Statewide)

Telehealth Adoption Rate
4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-02-23
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License OR 015886

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Shauna Hay , MS

Speech-Language Pathologist

NPI 1063307361

Master of Science

Kimberly Johnson , MS, CCC-SLP

Speech-Language Pathologist

NPI 1114531480

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Corinne Jarvis , MS, CCC-SLP

Speech-Language Pathologist

NPI 1306099460

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Aminah Kamawal , MS

Speech-Language Pathologist

NPI 1336922731

Master of Science

Ruth Daley , SLP

Speech-Language Pathologist

NPI 1376415562

Speech-Language Pathologist

NPI 1407558018

Bachelor of Science, Registered Dental Hygienist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 24, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location February 24, 2022

Registered at 15630 BOONES FERRY RD STE 6, LAKE OSWEGO, OR 970353455 (Tel: 9713460355)

📍
Updated Business Mailing Address February 24, 2022

Registered at 11143 NE SCHUYLER ST, PORTLAND, OR 972201941 (Tel: 9544789277)

👤
Provider Name / Credentials Updated February 24, 2022

Recorded as ALEXANDRIA VIDALON, MS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2022

Speech-Language Pathologist (License #015886 in OR)

🟢
Initial NPI Registration & Enumeration February 24, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265188619
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 24, 2022
Last Update: February 24, 2022
Sole Proprietor: Yes

Mailing Address

11143 Ne Schuyler St

Portland, OR 972201941

Phone: 9544789277

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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