Theilacker, Kathleen Stacie

Theilacker, Kathleen Stacie is an individual health care provider with primary practice located at 9280 Se Sunnybrook Blvd Ste 300 , Clackamas OR 97015-9353. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Assistant, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Theilacker, Kathleen Stacie can be contacted via phone (503) 233-5548.

Contact Information

Primary practice address
9280 Se Sunnybrook Blvd Ste 300 Clackamas OR 97015-9353
Phone: (503) 233-5548
Fax: (503) 230-1009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X 4382 California
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 31052 Oregon

Profile Details

NPI number 1205348166
LBN Legal business name Theilacker, Kathleen Stacie
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2017
Last updated Sep 14th, 2022 - about 3 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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