Lathrop, Kira Kristina

Lathrop, Kira Kristina is an individual health care provider with primary practice located at 621 W Madrone St , Roseburg OR 97470-3090. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Lathrop, Kira Kristina can be contacted via phone (541) 440-3532.

Contact Information

Primary practice address
621 W Madrone St Roseburg OR 97470-3090
Phone: (541) 440-3532
Fax: (541) 440-3554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 151871 Alaska
Behavioral Health & Social Service Providers / Professional 101YP2500X 7315 South Dakota
Behavioral Health & Social Service Providers / Professional 101YP2500X C10435 Oregon

Profile Details

NPI number 1609223809
LBN Legal business name Lathrop, Kira Kristina
Credentials MA, LPC, DBTC
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2016
Last updated Oct 8th, 2025 - about last year

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 1609223809 NPPES
Alaska MEDICAID 1712999

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