NPI 1073704201 · live from the CMS NPI Registry
Kealy S Adams, CCC-SLP
Speech-Language Pathologist, in Portland, OR. National Provider Identifier 1073704201, active.
NPI record
| NPI | 1073704201 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 4560 Se International Way, Portland, OR 97222 |
| Practice phone | 971-206-5205 |
| Mailing address | 4624 S 214th Pl, Kent, WA 98032 |
| Enumerated | August 5, 2007 |
| Last updated | January 7, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | LL60016408 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.