Jedlicka, Michael
Jedlicka, Michael is an individual health care provider with primary practice located at 532 N Main Ave , Gresham OR 97030-7244. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Jedlicka, Michael can be contacted via phone (503) 666-1333.Contact Information
Primary practice address
532 N Main Ave
Gresham OR 97030-7244
Phone: (503) 666-1333
Fax: (503) 666-2444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 12708 | Oregon |
Profile Details
| NPI number | 1437456845 |
|---|---|
| LBN Legal business name | Jedlicka, Michael |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2011 |
| Last updated | Feb 21st, 2011 - about 15 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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