Individual
MS. BETHANY ANN STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
4560 SE INTERNATIONAL WAY, SUITE 100 CONSONUS HEALTHCARE SERVICES, MILWAUKIE, OR 97222
(977) 206-5129
(977) 206-5209
Mailing address
4560 SE INTERNATIONAL WAY, SUITE 100 CONSONUS HEALTHCARE SERVICES, MILWAUKIE, OR 97222
(977) 206-5129
(977) 206-5209
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12678
OR
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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