Laratta, Bethany

Laratta, Bethany is an individual health care provider with primary practice located at 304 Ne Hood Ave , Gresham OR 97030-7450. 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. Laratta, Bethany can be contacted via phone (503) 666-1333.

Contact Information

Primary practice address
304 Ne Hood Ave Gresham OR 97030-7450
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 17139 Oregon

Profile Details

NPI number 1225783921
LBN Legal business name Laratta, Bethany
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2022
Last updated Feb 21st, 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 1225783921 NPPES
Oregon Other 17139 STATE LICENSURE BOARD

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