Individual
KERI KENDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
3900 PACIFIC AVE, FOREST GROVE, OR 97116-2226
(503) 359-0449
Mailing address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
15516
CA
235Z00000X
Speech-Language Pathologist
Primary
15728
OR
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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