Wick, Kyra Jo

Wick, Kyra Jo is an individual health care provider with primary practice located at 5208 Ne 122Nd Ave , Portland OR 97230-1074. 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. Wick, Kyra Jo can be contacted via phone (503) 256-6500.

Contact Information

Primary practice address
5208 Ne 122Nd Ave Portland OR 97230-1074
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 17862 Oregon

Profile Details

NPI number 1861252876
LBN Legal business name Wick, Kyra Jo
Credentials M.S., CFY-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2024
Last updated Mar 19th, 2024 - 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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