Active NPIIndividual provider

Ms. Kealy S Adams, CCC-SLP

Speech-Language Pathologist, in Portland, Oregon

NPI Number1073704201
Practice location
4560 SE International Way, Portland, OR 97222-4628
Fax
—
Last updated
January 7, 2014

Ms. Kealy S Adams, CCC-SLP is a Speech-Language Pathologist, based in Portland, OR. Ms. Kealy S Adams, CCC-SLP holds the professional credentials of CCC-SLP. The NPI number for Ms. Kealy S Adams, CCC-SLP is 1073704201 and holds license No. LL60016408 (WA). The current practice location address is 4560 SE International Way, Portland, OR 97222-4628 and the office can be reached by phone at 971-206-5205. The NPI was assigned on August 5, 2007 and the record was last updated in NPPES on January 7, 2014.

●Provider Profile Details

NPI Number
1073704201
Provider Name
Kealy S Adams
Credential
CCC-SLP
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Enumeration Date
August 5, 2007
Last Update Date
January 7, 2014
NPI Status
Active

◉Business Practice Location Address

Address
4560 SE International Way
Portland, OR 97222-4628
State
Oregon
ZIP
97222-4628
Country
US
Phone Number
971-206-5205

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✉Business Mailing Address

Address
4624 S 214TH Pl
Kent, WA 98032-8479
City
Kent
State
WA
ZIP
98032-8479
Phone Number
650-279-6382

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Speech-Language Pathologist, 235Z00000XYesLL60016408WA

#Other Provider Identifiers

No legacy or other 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 Ms. Kealy S Adams, CCC-SLP?

The NPI number of Ms. Kealy S Adams, CCC-SLP is 1073704201. It was assigned on August 5, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Kealy S Adams, CCC-SLP?

Ms. Kealy S Adams, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X) and holds license No. LL60016408 (WA).

Where does Ms. Kealy S Adams, CCC-SLP practice?

The practice location is 4560 SE International Way, Portland, OR 97222-4628. The office can be reached at 971-206-5205 (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 1073704201 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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