Provider Demographics
NPI:1386626752
Name:SOLAND, CHRISTINE ELIZABETH (CCC SPA)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:ELIZABETH
Last Name:SOLAND
Suffix:
Gender:F
Credentials:CCC SPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:849 NE 70TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-5543
Mailing Address - Country:US
Mailing Address - Phone:503-253-1741
Mailing Address - Fax:
Practice Address - Street 1:2860 SE HOLGATE BLVD
Practice Address - Street 2:TUCKER MAXON ORAL SCHOOL
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-3658
Practice Address - Country:US
Practice Address - Phone:503-235-6551
Practice Address - Fax:503-235-6973
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR31250231H00000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist