Gregory Keith Lilly , MS, CCC, SLP
Speech-Language Pathologist • Portland, OR
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Gregory Lilly has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Gregory Lilly, MS, CCC, SLP was a registered Speech-Language Pathologist practicing in Portland, OR. Throughout an active medical career spanning 18 years, Gregory Lilly provided care at the practice location at 4326 SW KANAN DR until profile deactivation on 2025-06-12.
Practice Location & Contact Primary Location
4326 Sw Kanan Dr
Portland, OR 972213441
Specialty Benchmarks & Practice Insights
Comparative analytics for Speech-Language Pathologist in Portland, OR
Practicing in Portland, OR (2106 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 235Z00000X
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
Massage Therapist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 12, 2025
NPI status registered as active in NPPES database
Registered at 4326 SW KANAN DR, PORTLAND, OR 972213441 (Tel: 5032454520)
Registered at 4326 SW KANAN DR, PORTLAND, OR 972213441 (Tel: 5032454520)
Recorded as GREGORY LILLY, M.S., CCC, SLP
Speech-Language Pathologist (License #11739 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4326 Sw Kanan Dr
Portland, OR 972213441
Phone: 5032454520
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