Mccormick, Kelly

Mccormick, Kelly is an individual health care provider with primary practice located at 1939 E Burnside St , Portland OR 97214-1535. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Mccormick, Kelly can be contacted via phone (503) 233-6141.

Contact Information

Primary practice address
1939 E Burnside St Portland OR 97214-1535
Phone: (503) 233-6141
Fax: (503) 233-2889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HAS-P-353618 Oregon
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HA00002483 Washington

Profile Details

NPI number 1164552998
LBN Legal business name Mccormick, Kelly
Credentials BC-HIS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jul 19th, 2013 - about 12 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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