Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386287100 Individual Practitioner Female Practitioner

Kathryn Grace Waller , MS, CFY-SLP

Speech-Language Pathologist • Portland, OR

Professional Overview & Biography Verified Profile Summary

Kathryn Waller, MS, CFY-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Portland, OR. Practice services are available at 8643 NE BEECH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8643 Ne Beech St

Portland, OR 972205012

Telephone 5032562151
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
652 Specialists

Practicing in Portland, OR (2106 Statewide)

Telehealth Adoption Rate
0.2% 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License OR 016634

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Oregon State Conditional Slp License
016634 (OR)

Secondary Practice Locations

5330 Ne Prescott St

Portland, OR 972182158

Phone: 5032886585

Practice Associates & Co-Workers

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

9 Associated Practitioners
Alison Gusick

Physical Therapy Assistant

NPI 1083068746
Janelle Prentice , PTA

Physical Therapy Assistant

NPI 1083804017

Physical Therapist Assistant

Rhonda Moore

Occupational Therapy Assistant

NPI 1174713481
Kara Rasmussen

Physical Therapy Assistant

NPI 1215436175
Mallory King

Licensed Practical Nurse

NPI 1366154569
Dr. Ann Horinouchi , DPT

Physical Therapist

NPI 1376794768

Doctor of Physical Therapy

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 24, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 24, 2019

Registered at 8643 NE BEECH ST, PORTLAND, OR 972205012 (Tel: 5032562151)

📍
Updated Business Mailing Address October 24, 2019

Registered at 25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 970709697

👤
Provider Name / Credentials Updated October 24, 2019

Recorded as KATHRYN WALLER, M.S., CFY-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2019

Speech-Language Pathologist (License #016634 in OR)

🟢
Initial NPI Registration & Enumeration October 24, 2019

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: 1386287100
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2019
Last Update: October 24, 2019
Sole Proprietor: No

Mailing Address

25117 Sw Parkway Ave Ste D

Wilsonville, OR 970709697

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.