Nicole Kristine Beck, MA CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Tualatin, OR
NPI 1346576162 · NPPES record last updated Oct 29, 2009
Key facts
- NPI
- 1346576162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 12276 (OR)
- Practice address
- 19250 SW 65TH Ave
Medical Plaza 1, Suite 125
Tualatin, OR 97062-7452 - Phone
- (503) 692-1783
- NPI assigned
- Oct 29, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12276 | OR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Meridian Park Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12276 | OR | Yes |
Addresses
Primary practice location
19250 SW 65TH Ave
Medical Plaza 1, Suite 125
Tualatin, OR 97062-7452
Mailing address
19250 SW 65TH Ave
Medical Plaza 1, Suite 125
Tualatin, OR 97062-7452
Phone (503) 692-1783
Other providers in Tualatin, OR
- Tonya Joy Bass
- Carey Baudino
- Mariah Alexis Baudino
- Peter Tannahill Beatty
- Lisa Rae Beck
- Ryann Elizabeth Beeler
- Mandy Jean Beeman
- Michelle Marie Beilstein
- Maria Bellafronte
- Angel Belmont
All providers in Tualatin, 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 29, 2009. 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.