Michael Jedlicka, SLP

Speech-Language Pathologist · Gresham, OR

Individual Active NPI

NPI number 1437456845

Practice location

532 N Main Ave
Gresham, OR 97030-7244
Phone
(503) 666-1333
Fax
(503) 666-2444

Open in Google Maps

NPI record

NPI
1437456845
Entity type
Individual (Type 1)
Enumeration date
February 21, 2011
Last updated
February 21, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 12708 OR

About Michael Jedlicka

Michael Jedlicka, SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 532 N Main Ave, Gresham, OR 97030-7244. The NPI number 1437456845 was assigned on February 21, 2011 and the record was last updated on February 21, 2011.

Michael Jedlicka lists a license in the registry: #12708 (OR) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Jedlicka, SLP?

The NPI number is 1437456845.

What is the phone number of Michael Jedlicka?

The phone number listed for the practice location is (503) 666-1333.

Where is Michael Jedlicka located?

532 N Main Ave, Gresham, OR 97030-7244.

What is the taxonomy code for Michael Jedlicka?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Speech-Language Pathologist providers in Gresham

All Speech-Language Pathologist providers in Gresham, OR →