Individual
MS. LARAINE GLADSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-A
Contact information
Practice address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 331-6396
(503) 331-6051
Mailing address
3600 N INTERSTATE AVENUE, PORTLAND, OR 97227-1191
(503) 331-6052
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
21943
OR
237600000X
Audiologist-Hearing Aid Fitter
HAS P 124108
OR
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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