Individual
NATHAN HARTLEBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
840 NE 41ST AVE, PORTLAND, OR 97232-2618
(503) 916-6210
Mailing address
6715 NE FREMONT ST, PORTLAND, OR 97213-5235
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015876
OR
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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