Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255118725 Individual Practitioner Male Practitioner

Kenneth Daniel O'dea , CCC-SLP

Speech-Language Pathologist • Canby, OR

Professional Overview & Biography Verified Profile Summary

Kenneth O'Dea, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Canby, OR. Practice services are available at 366 N HOLLY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

366 N Holly St

Canby, OR 970133739

Telephone 5039086120

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Canby, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
10 Specialists

Practicing in Canby, OR (2106 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-07
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License OR 16852

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Erin Bricker , MS, CCC-SLP

Speech-Language Pathologist

NPI 1013709724

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Natasha Harwood , SLP

Speech-Language Pathologist

NPI 1043065790

Speech-Language Pathologist

Eva Lammers

Speech-Language Pathologist

NPI 1144111303
Amber Brandmeyer

Occupational Therapist

NPI 1154126951
Dr. Olivia Myers , OTD, OTR, L

Occupational Therapist

NPI 1225814148

Doctor of Occupational Therapy, Occupational Therapist Registered, L

Kaitlin Atwood

Speech-Language Pathologist

NPI 1235057183

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 11, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location September 11, 2023

Registered at 366 N HOLLY ST, CANBY, OR 970133739 (Tel: 5039086120)

📍
Updated Business Mailing Address September 11, 2023

Registered at 11775 SE MARKET ST, PORTLAND, OR 972163914 (Tel: 6507409563)

👤
Provider Name / Credentials Updated September 11, 2023

Recorded as KENNETH O'DEA, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2023

Speech-Language Pathologist (License #16852 in OR)

🟢
Initial NPI Registration & Enumeration September 11, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255118725
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2023
Last Update: September 11, 2023
Sole Proprietor: No

Mailing Address

11775 Se Market St

Portland, OR 972163914

Phone: 6507409563

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.