Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Christine Hathaway, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1235426099

Nicole Christine Hathaway, MA, CCC-SLP is a Speech-Language Pathologist in Portland, Oregon. Practices as a sole proprietor. Licensed in Arizona, Oregon and Utah.

Licensed in
AZ, OR, UT
In the registry since
2011
Specialties on file
3
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

6530 SW 30th Ave
Portland, OR 97239-1007
Phone: (503) 244-7533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 15438 (OR)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SLP6141 (AZ)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 87631074102 (UT)

Record details

NPI number1235426099
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorYes
NPI enumeratedJune 30, 2011
Last updated in NPPESDecember 18, 2014

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