Eickelberg, Kelli Murdock

Eickelberg, Kelli Murdock is an sole proprietor health care provider with primary practice located at 7701 Sw Cirrus Drive, Suite 32-D , Beaverton OR 97008-5966. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Eickelberg, Kelli Murdock can be contacted via phone (503) 520-5030.

Contact Information

Primary practice address
7701 Sw Cirrus Drive, Suite 32-D Beaverton OR 97008-5966
Fax: (503) 520-5090
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 10960 Oregon

Profile Details

NPI number 1598886111
LBN Legal business name Eickelberg, Kelli Murdock
Credentials MA, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2007
Last updated Sep 3rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598886111 NPPES
Oregon Other 10960 OREGAON STATE LICENSE
Oregon Other LL60802215 OREGAON STATE LICENSE

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