O'Dea, Kenneth Daniel

O'Dea, Kenneth Daniel is an individual health care provider with primary practice located at 366 N Holly St , Canby OR 97013-3739. 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. O'Dea, Kenneth Daniel can be contacted via phone (503) 908-6120.

Contact Information

Primary practice address
366 N Holly St Canby OR 97013-3739
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 16852 Oregon

Profile Details

NPI number 1255118725
LBN Legal business name O'Dea, Kenneth Daniel
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2023
Last updated Sep 11th, 2023 - about 2 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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