Individual
NICOLE KRISTINE BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
19250 SW 65TH AVE, MEDICAL PLAZA 1, SUITE 125, TUALATIN, OR 97062-7452
(503) 692-1783
Mailing address
19250 SW 65TH AVE, MEDICAL PLAZA 1, SUITE 125, TUALATIN, OR 97062-7452
(503) 692-1783
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12276
OR
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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