Bethany Longaker MS, CCC-SLP

NPI 1023203148 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1023203148
Gender Female
Enumeration Date 09/11/2007
Last Updated 09/11/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
335 SE 8TH AVE
HILLSBORO OR, 97123-4246, US
Phone (503) 681-1605
Fax (503) 681-1939
Business Location
335 SE 8TH AVE
HILLSBORO OR, 97123-4246, US
Phone (503) 681-1605
Fax (503) 681-1939
Toxanomy
Taxonomy Code 235Z00000X
License State Oregon
License Number 12068
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According to our database, Bethany Longaker MS, CCC-SLP NPI is 1023203148, taxonomy code is 235Z00000X and license number is 12068, license state is located at Oregon. Bethany Longaker MS, CCC-SLP physically located at 335 Se 8th Ave, Hillsboro OR, 97123-4246. NPI Number Bethany Longaker MS, CCC-SLP has the Individual type.

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1023203148 NPI number is provided on an as is basis without warranty of any kind. 1023203148 is maintained by the National Plan & Provider Enumeration System. The contents of Bethany Longaker MS, CCC-SLP are for informational purposes only.