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VICTORIA ANN EDWARDS MS CCC-SLP
NPI 1104910892
Speech-Language Pathologist in Portland, OR

Active since October 03, 2006
3600 N INTERSTATE AVE, PORTLAND, OR 97227(503) 331-6332 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Victoria Ann Edwards Ms Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTORIA ANN EDWARDS MS CCC-SLP (NPI 1104910892) is an individual speech-language pathologist provider in Portland, Oregon, licensed in Oregon (12130) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1104910892
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameVICTORIA ANN EDWARDSCredential: MS CCC-SLP
Location Address3600 N INTERSTATE AVEPortland, OR 97227-1116
Mailing Address103 Ne Fargo StPortland, OR 97212 · (503) 869-3792
Phone(503) 331-6332
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateJanuary 11, 2022
NPPES CertifiedJanuary 11, 2022
✔ NPI 1104910892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses✔ Licensed in OR · 12130✔ Licensed in WA · LL00003458
Definition
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.
3600 N INTERSTATE AVE, Portland, OR 97227
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victoria Ann Edwards Ms Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Victoria Edwards reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Northwest
Same address
Oncology, Radiation
3620 N INTERSTATE AVE
Portland, OR 97227
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Also billed through NPI 1184786527 (Washington)
  • 3,207 clinicians in this Medicare group
NPI 1093043424 (503) 280-2931

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID WEI KUO LIN M.D.
Otolaryngology
3600 N INTERSTATE AVE, INTERSTATE MEDICAL OFFICE CENTRAL
PORTLAND, OR 97227
Multnomah County (503) 331-6085
DR. LYNETTE SANTOS MALIK M.D.
Physical Medicine & Rehabilitation (Sports Medicine)
3600 N INTERSTATE AVE, DEPARTMENT OF PHYSICAL MEDICINE
PORTLAND, OR 97227
Multnomah County (503) 331-3070
DR. RYO A. SHOHARA M.D.
Internal Medicine (Hematology & Oncology)
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 331-6500
JOHANNA R HEYMANN RN, LCSW
Social Worker (Clinical)
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 213-8000
DR. SARI JOUIHAN MS, PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 504-4203
THOMAS HUGH GIBBS O.D.
Optometrist
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 249-3449
DR. CATALINA HERNANDEZ TORRES MD
Internal Medicine (Hematology & Oncology)
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (800) 813-2000
ANTONY MATHEW POOTHULLIL MD
Ophthalmology
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 331-6330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victoria Edwards's NPI number?

The NPI number for Victoria Edwards is 1104910892. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Victoria Edwards located?

Victoria Edwards practices at 3600 N Interstate Ave, Portland, OR 97227. The listed phone number is (503) 331-6332.

What is Victoria Edwards's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Victoria Edwards enrolled in Medicare?

Yes. Victoria Edwards is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Victoria Edwards's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Victoria Edwards reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Portland, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Victoria Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Victoria Edwards was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.