Bergstrom, Laura Kay

Bergstrom, Laura Kay is an individual health care provider with primary practice located at 4560 Se International Way Ste 100 , Milwaukie OR 97222-4628. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bergstrom, Laura Kay can be contacted via phone (503) 267-4096.

Contact Information

Primary practice address
4560 Se International Way Ste 100 Milwaukie OR 97222-4628
Phone: (503) 267-4096
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 11565 Oregon

Profile Details

NPI number 1396309159
LBN Legal business name Bergstrom, Laura Kay
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2019
Last updated Apr 26th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396309159 NPPES
Oregon Other 11565 STATE SLP LICENSE

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