Healthcare Provider Details

I. General information

NPI: 1093632812
Provider Name (Legal Business Name): BRIGHID GRIOSAL O'NEILL SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17360 HOLY NAMES DR
LAKE OSWEGO OR
97034-5133
US

IV. Provider business mailing address

550 NE FARGO ST APT 5
PORTLAND OR
97212-2145
US

V. Phone/Fax

Practice location:
  • Phone: 503-675-2475
  • Fax:
Mailing address:
  • Phone: 503-989-4589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number18387
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: