Individual
MS. KATE FREDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. SLP-C.FY
Contact information
Practice address
5353 COLUMBUS ST. SE, ALBANY, OR 97322
(541) 928-5152
(541) 926-6078
Mailing address
4560 SE INTERNATIONAL WAY, STE. 100, MILWAUKIE, OR 97222
(971) 206-5200
(971) 206-6203
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
013358
OR
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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