Individual
BETHANY LONGAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
335 SE 8TH AVE, HILLSBORO, OR 97123-4246
(503) 681-1605
(503) 681-1939
Mailing address
335 SE 8TH AVE, HILLSBORO, OR 97123-4246
(503) 681-1605
(503) 681-1939
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12068
OR
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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