IndividualActive
James Divine, SLP
NPI 1851938294 · Speech-Language Pathologist · Fairview, OR
Provider details
- NPI number
- 1851938294
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- SLP
- Sex
- Male
- Sole proprietor
- No
- License
- 18392 (OR)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
1204 Ne 201st Ave
Fairview, OR 97024-2499
Phone: (503) 661-7200
Approximate (ZIP-level) locationGet directions
Mailing address
1204 Ne 201st Ave
Fairview, OR 97024-2499
Registry dates
- Enumerated
- 2019-12-04
- Last updated
- 2025-04-07
- Certified
- 2025-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.