KYRA JO WICK M.S., CFY-SLP
NPI 1861252876
Speech-Language Pathologist in Portland, OR

Active since March 19, 2024
5208 NE 122ND AVE, PORTLAND, OR 97230(503) 256-6500 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kyra Jo Wick M.s., Cfy-slp NPPES

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

KYRA JO WICK M.S., CFY-SLP (NPI 1861252876) is an individual speech-language pathologist provider in Portland, Oregon, licensed in Oregon (17862) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1861252876
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKYRA JO WICKCredential: M.S., CFY-SLP
Location Address5208 NE 122ND AVEPortland, OR 97230-1074
Mailing Address5208 Ne 122nd AvePortland, OR 97230-1074 · (503) 256-6500
Sole ProprietorNo
Enumeration DateMarch 19, 2024
NPPES CertifiedMarch 18, 2024
NPI 1861252876 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
License Licensed in OR · 17862
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.
5208 NE 122ND AVE, Portland, OR 97230

Other Names 1

Former Name (1)Kyra Jo Fawcett

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.

Speech-Language Pathologist
5208 NE 122ND AVE
PORTLAND, OR 97230
Speech-Language Pathologist
5208 NE 122ND AVE
PORTLAND, OR 97230
Speech-Language Pathologist
5208 NE 122ND AVE
PORTLAND, OR 97230
Speech-Language Pathologist
5208 NE 122ND AVE
PORTLAND, OR 97230
Speech-Language Pathologist
5208 NE 122ND AVE
PORTLAND, OR 97230
Occupational Therapist
5208 NE 122ND AVE
PORTLAND, OR 97230
Occupational Therapist
5208 NE 122ND AVE
PORTLAND, OR 97230
Speech-Language Pathologist
5208 NE 122ND AVE
PORTLAND, OR 97230

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 Kyra Wick's NPI number?

The NPI number for Kyra Wick is 1861252876. It was assigned to this individual provider in the NPPES registry on March 19, 2024. The provider is also known as Kyra Jo Fawcett.

Where is Kyra Wick located?

Kyra Wick practices at 5208 NE 122nd Ave, Portland, OR 97230. The listed phone number is (503) 256-6500.

What is Kyra Wick's specialty?

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

When was this NPI record last updated?

The NPPES record for Kyra Wick was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.