Individual
LAUREN BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
5050 NE HOYT ST, #315, PORTLAND, OR 97213
(503) 215-8580
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13126
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500713238
—
OR
Enumeration date
07/21/2016
Last updated
08/19/2018
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