Active NPIIndividual provider

Kerry L Bradley, SLP

Speech-Language Pathologist, in Eugene, Oregon

NPI Number1336557693
Practice location
1500 W 12TH Ave, Eugene, OR 97402-3705
Fax
—
Last updated
March 20, 2024

Kerry L Bradley is a Speech-Language Pathologist, based in Eugene, OR. Kerry L Bradley practices in Eugene, OR and has the professional credentials of SLP. The NPI Number for Kerry L Bradley is 1336557693 and holds a License No. 14066613 (OR). The current practice location address for Kerry L Bradley is 1500 W 12TH Ave, Eugene, OR 97402-3705 and can be reached out via phone at 541-346-2578.

Provider Profile Details

NPI Number
1336557693
Provider Name
Kerry L Bradley
Credential
SLP
Provider Entity Type
Individual
Gender
Female
Address
1500 W 12TH Ave, Eugene, OR 97402-3705
Phone Number
541-346-2578
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
July 30, 2014
Last Update Date
March 20, 2024
Certification Date
March 20, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1500 W 12TH Ave
Eugene, OR 97402-3705
City
Eugene
State
Oregon
Zip
97402-3705
Phone Number
541-346-2578
Eugene, OR 97402Get directions →

Provider Business Mailing Address Details

Address
1500 W 12TH Ave
Eugene, OR 97402-3705
City
Eugene
State
OR
Zip
97402-3705
Phone Number
541-346-2578

License Information

License Number (1)
14066613
License State (1)
OR
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
License Number (2)
015328
License State (2)
OR
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kerry L Bradley, SLP?

The NPI number of Kerry L Bradley, SLP is 1336557693. It was assigned on July 30, 2014 and is currently active in the NPPES registry.

What is the specialty of Kerry L Bradley, SLP?

Kerry L Bradley, SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in OR under license number 14066613.

Where does Kerry L Bradley, SLP practice?

The practice location is 1500 W 12TH Ave, Eugene, OR 97402-3705. The office can be reached at 541-346-2578 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336557693 directly on the NPPES registry website.

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