Individual
MS. CHRISTINE CORL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
9135 SW BARNES RD STE 561, PORTLAND, OR 97225-6643
(503) 216-2339
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146.008759
IL
235Z00000X
Speech-Language Pathologist
Primary
17385
OR
235Z00000X
Speech-Language Pathologist
LL60507478
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12096071
ASHA
IL
01
—
146.008759
STATE LICENSE
IL
05
—
2043889
—
WA
Enumeration date
04/17/2007
Last updated
04/21/2023
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