| Doctor Name: | KATHLEEN ALBERTONI KOHAMA |
| NPI Number: | 1053359620 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA-CCC |
| License Number: | 11061 |
| Business Practice Address: | 445 E Main St Suite 100 Hillsboro, OR - 971234084 |
| Business Phone Number: | 5036403147 |
| Business Fax Number: | 5036409753 |
| Mailing Address: | 445 E Main St, Suite 100 HILLSBORO |
| State: | OR |
| Postal Code: | 971234084 |
| Phone Number: | 5036403147 |
| Fax Number: | 5036409753 |
| NPI Enumeration Date: | 06/03/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 11061 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |