Individual
SYDNEY MARIAH LASCHOBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
304 NE HOOD AVE, GRESHAM, OR 97030-7450
(503) 666-1333
Mailing address
304 NE HOOD AVE, GRESHAM, OR 97030-7450
(503) 666-1333
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16964
STATE LICENSURE BOARD
OR
Enumeration date
12/08/2022
Last updated
12/08/2022
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