Active NPI
Holly Michelle Kiesz-Royer, SLP
- Speech-Language Pathologist
- Happy Valley, OR
National Provider Identifier
1841446317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11735
- Practice address
- 12500 SE Ridgecrest Rd
Happy Valley, OR 97086-6129 - Phone
- (503) 762-2898
- NPI assigned
- Aug 14, 2008
- Last updated
- Aug 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 11735 | OR | Primary |
Addresses
Primary practice location
12500 SE Ridgecrest Rd
Happy Valley, OR 97086-6129
Mailing address
12500 SE Ridgecrest Rd
Happy Valley, OR 97086-6129
Phone (503) 762-2898
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11735 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218672000000",
"number": "1841446317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12500 SE RIDGECREST RD",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970866129",
"telephone_number": "503-762-2898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12500 SE RIDGECREST RD",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970866129",
"telephone_number": "503-762-2898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIESZ-ROYER",
"first_name": "HOLLY",
"middle_name": "MICHELLE",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-14",
"last_updated": "2008-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "11735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Happy Valley, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.