Kalie Rolfe
Individual provider Active NPI Speech-Language Pathologist · Moro, OR
NPI 1194547174 · NPPES record last updated Oct 30, 2024
Key facts
- NPI
- 1194547174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 12925 (OR)
- Practice address
- 96845 Monkland LN.
Moro, OR 97039 - Phone
- (541) 980-5725
- NPI assigned
- Oct 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12925 | OR | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12925 | OR | Yes |
Addresses
Primary practice location
96845 Monkland LN.
Moro, OR 97039
Mailing address
96845 Monkland LN.
Moro, OR 97039
Other practice location 1
903 Barnett St.
Wasco, OR 97065
Phone (541) 980-5725
Other providers in Moro, OR
- Mark Corey
- County of Sherman
- Erin L Haines
- Mid-Columbia Center for Living
- Shawn L Payne
- Sherman County Health District
- Tracy Willett
All providers in Moro, OR · Speech-Language Pathologist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.