Kothakonda, Vijitha

Kothakonda, Vijitha is an sole proprietor 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. Kothakonda, Vijitha can be contacted via phone (925) 689-7457.

Contact Information

Primary practice address
4560 Se International Way Ste 100 Milwaukie OR 97222-4628
Phone: (925) 689-7457
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 18293 California

Profile Details

NPI number 1336674605
LBN Legal business name Kothakonda, Vijitha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2017
Last updated Apr 25th, 2017 - about 8 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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