Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Kevin Joseph Patrick, MSCCCSLP

Individual provider Speech-Language Pathologist · NPI 1538341375

Mr. Kevin Joseph Patrick, MSCCCSLP is a Qualified Speech Language Pathologist in Milwaukie, Oregon. Qualified in 1997, 29 years ago. Licensed in Nevada.

Years since qualifying
29
Licensed in
NV
In the registry since
2007
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Practice location Address checks out

4560 SE International Way Ste 100
Milwaukie, OR 97222
Phone: (971) 206-5149
Fax: (971) 206-5209
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP658 (NV)

Record details

NPI number1538341375
Entity typeIndividual (Type 1)
GenderMale
Credentials MSCCCSLP
Sole proprietorNo
NPI enumeratedDecember 4, 2007
Last updated in NPPESDecember 4, 2007
Mailing address4560 Se International Way, Suite 100, Milwaukie, OR 97222

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Not indicated

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