Individual
MR. KEVIN JOSEPH PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS CCCSLP
Contact information
Practice address
4560 SE INTERNATIONAL WAY, SUITE 100, MILWAUKIE, OR 97222
(971) 206-5149
(971) 206-5209
Mailing address
4560 SE INTERNATIONAL WAY, SUITE 100, MILWAUKIE, OR 97222
(971) 206-5149
(971) 206-5209
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP658
NV
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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