Mentillo, Kirby N

Mentillo, Kirby N is an individual health care provider with primary practice located at 4560 Se International Way Suite 101, Milwaukie OR 97222-4628. 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. Mentillo, Kirby N can be contacted via phone (971) 206-5202.

Contact Information

Primary practice address
4560 Se International Way Suite 101 Milwaukie OR 97222-4628
Phone: (971) 206-5202
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 015179 Oregon
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X LL60331502 Washington

Profile Details

NPI number 1124440300
LBN Legal business name Mentillo, Kirby N
Credentials MA CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2014
Last updated Jan 7th, 2014 - about 11 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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