NPI 1306454772 · live from the CMS NPI Registry
Kathleen Cotter
Speech-Language Pathologist, in Portland, OR. National Provider Identifier 1306454772, active.
NPI record
| NPI | 1306454772 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 700 Sw Campus Dr, Portland, OR 97239 |
| Practice phone | 503-346-0640 |
| Mailing address | 993 Le Grande Cannon Blvd, Helena, MT 59601 |
| Enumerated | July 21, 2020 |
| Last updated | July 21, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 16848 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.