Provider Demographics
NPI:1295615706
Name:KIRKPATRICK, MAEVE MARY (AUD)
Entity type:Individual
Prefix:
First Name:MAEVE
Middle Name:MARY
Last Name:KIRKPATRICK
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10024 SE 32ND AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97222-6514
Mailing Address - Country:US
Mailing Address - Phone:503-513-8693
Mailing Address - Fax:503-659-2191
Practice Address - Street 1:10024 SE 32ND AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97222-6514
Practice Address - Country:US
Practice Address - Phone:503-513-8693
Practice Address - Fax:503-659-2191
Is Sole Proprietor?:No
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR31147231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist