Roediger, Kerry Anne
Roediger, Kerry Anne is an individual health care provider with primary practice located at 1722 Nw Raleigh St Suite 318, Portland OR 97209-1753. 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. Roediger, Kerry Anne can be contacted via phone (503) 224-2820.Contact Information
Primary practice address
1722 Nw Raleigh St Suite 318
Portland OR 97209-1753
Phone: (503) 224-2820
Fax: (503) 224-2607
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | LL00003688 | Washington |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 12293 | Oregon |
Profile Details
| NPI number | 1528006368 |
|---|---|
| LBN Legal business name | Roediger, Kerry Anne |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528006368 | NPPES |
| Other | 09138419 | ASHA CERTIFICATION - SLP | |
| MEDICAID | 182755 | ASHA CERTIFICATION - SLP | |
| Other | 12293 | ASHA CERTIFICATION - SLP | |
| MEDICAID | 7131154 | ASHA CERTIFICATION - SLP | |
| Other | LL00003688 | ASHA CERTIFICATION - SLP |
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