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

Mrs. Kirby N Mentillo, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1124440300

Mrs. Kirby N Mentillo, MACCC-SLP is a Speech-Language Pathologist in Milwaukie, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2014.

Licensed in
OR, WA
In the registry since
2014
Specialties on file
2

Practice location Address checks out

4560 SE International Way Ste 101
Milwaukie, OR 97222-4628
Phone: (971) 206-5202
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 015179 (OR)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence LL60331502 (WA)

Record details

NPI number1124440300
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorNo
NPI enumeratedJanuary 7, 2014
Last updated in NPPESJanuary 7, 2014

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