Provider Demographics
NPI:1437501780
Name:HELMS, KATHRYN P (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:P
Last Name:HELMS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:A
Other - Last Name:PEARSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:17520 SW CHEYENNE WAY
Mailing Address - Street 2:
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-8467
Mailing Address - Country:US
Mailing Address - Phone:503-720-1713
Mailing Address - Fax:
Practice Address - Street 1:8625 SW CASCADE AVE STE 320
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97008-7126
Practice Address - Country:US
Practice Address - Phone:877-755-8940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-11
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO14085989235Z00000X
OR17426235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist