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MRS. KIRBY N MENTILLO MA CCC-SLP
NPI 1124440300
Speech-Language Pathologist in Milwaukie, OR

Active since January 07, 2014
4560 SE INTERNATIONAL WAY, SUITE 101, MILWAUKIE, OR 97222(971) 206-5202 Get Directions Write a Review

NPPES record last updated: January 7, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Kirby N Mentillo Ma Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KIRBY N MENTILLO MA CCC-SLP (NPI 1124440300) is an individual speech-language pathologist provider in Milwaukie, Oregon, licensed in Oregon (015179) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1124440300
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. KIRBY N MENTILLOCredential: MA CCC-SLP
Location Address4560 SE INTERNATIONAL WAY, SUITE 101Milwaukie, OR 97222-4628
Mailing Address9405 N Richmond AvePortland, OR 97203-1650 · (704) 439-6576
Phone(971) 206-5202
Sole ProprietorNo
Enumeration DateJanuary 7, 2014
✔ NPI 1124440300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses✔ Licensed in OR · 015179✔ Licensed in WA · LL60331502
Definition
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.
4560 SE INTERNATIONAL WAY, Milwaukie, OR 97222
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOAN LUNA VICENTE PT
Physical Therapist
4560 SE INTERNATIONAL WAY, CONSONUS HEALTHCARE SERVICES SUITE 100
MILWAUKIE, OR 97222
Clackamas County (971) 206-5149
MICHELLE LONGA RPT
Physical Therapist
4560 SE INTERNATIONAL WAY, STE 100
MILWAUKIE, OR 97222
Clackamas County (971) 206-5237
JONATHA G FITZGERALD PHYSICAL THERAPIST A
Physical Therapy Assistant
4560 SE INTERNATIONAL WAY, CONSONUS REHAB SERVICES
MILWAUKIE, OR 97222
Clackamas County (971) 206-5140
CHRISTINA ANN BALOGH OCCUPATIONAL THERAPI
Occupational Therapist
4560 SE INTERNATIONAL WAY, CONSONUS REHAB SERVICES
MILWAUKIE, OR 97222
Clackamas County (971) 206-5140
DONALD SLATE PHYSICAL THERAPIST
Physical Therapy Assistant
4560 SE INTERNATIONAL WAY, CONSONUS REHAB SERVICES
MILWAUKIE, OR 97222
Clackamas County (971) 206-5140
SEAN ANTHONY MILLER PHYS THERAPIST ASST
Physical Therapy Assistant
4560 SE INTERNATIONAL WAY, CONSONUS REHAB SERVICES
MILWAUKIE, OR 97222
Clackamas County (971) 206-5140
JULIE GOGGIN SPEECH LANGUAGE PATH
Speech-Language Pathologist
4560 SE INTERNATIONAL WAY, CONSONUS REHAB SERVICES
MILWAUKIE, OR 97222
Clackamas County (971) 206-5140
MR. RON D DRAGO OT
Physical Therapist
4560 SE INTERNATIONAL WAY, SUITE 100 CONSONUS HEALTHCARE SERVICES
MILWAUKIE, OR 97222
Clackamas County (971) 206-5129

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kirby Mentillo's NPI number?

The NPI number for Kirby Mentillo is 1124440300. It was assigned to this individual provider in the NPPES registry on January 7, 2014.

Where is Kirby Mentillo located?

Kirby Mentillo practices at 4560 SE International Way Suite 101, Milwaukie, OR 97222. The listed phone number is (971) 206-5202.

What is Kirby Mentillo's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

What insurance does Kirby Mentillo accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Kirby Mentillo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kirby Mentillo was last updated on January 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.