Glantz, Andrea

Glantz, Andrea is an individual health care provider with primary practice located at 9155 Sw Barnes Rd Ste 536 , Portland OR 97225-6785. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Glantz, Andrea can be contacted via phone (503) 935-8100.

Contact Information

Primary practice address
9155 Sw Barnes Rd Ste 536 Portland OR 97225-6785
Fax: (503) 935-8110
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 30800 Oregon

Profile Details

NPI number 1477969046
LBN Legal business name Glantz, Andrea
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2014
Last updated Feb 24th, 2022 - about 4 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 1477969046 NPPES
Oregon MEDICAID 500673401

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