Krista Nicole Kline, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Enterprise, OR
NPI 1477393643 · NPPES record last updated May 27, 2024
Key facts
- NPI
- 1477393643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 015355 (OR)
- Practice address
- 107 SW 1St St
Enterprise, OR 97828-1285 - Phone
- (541) 426-7600
- NPI assigned
- May 27, 2024
- Sex
- Female
- Sole proprietor
- No
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015355 | OR | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 015355 | OR | Yes |
Addresses
Primary practice location
107 SW 1St St
Enterprise, OR 97828-1285
Mailing address
107 SW 1St St
Enterprise, OR 97828-1285
Phone (541) 426-7600
Other providers in Enterprise, OR
- Clare Kilker
- Min Ju Kim
- Rebecca King
- Stephen Paul Kliewer
- Thomas Paul Klimsza
- Emily Knudsen
- Amber M Krepp
- Jackson Duane Law
- Lawrence Leonard Woods
- Ronald Duy Le
All providers in Enterprise, 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 May 27, 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.