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
Phone: (503) 520-5030
Fax: (503) 520-5090
Website:
Health care specialties
| Specialty | Code | License # | 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 7 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 | 1598886111 | NPPES |
| Oregon | Other | 10960 | OREGAON STATE LICENSE |
| Oregon | Other | LL60802215 | OREGAON STATE LICENSE |
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