Individual
DR. BRITANIA LATRONICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1340 SW BERTHA BLVD STE 202, PORTLAND, OR 97219-2172
(971) 417-5500
Mailing address
11005 SW 79TH AVE, PORTLAND, OR 97223-8734
(971) 417-5500
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
1413
KS
103TB0200X
Cognitive & Behavioral Psychologist
2210
KS
103TB0200X
Cognitive & Behavioral Psychologist
2399
KS
103TB0200X
Cognitive & Behavioral Psychologist
Primary
2483
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12363430
CAQH
OR
Enumeration date
04/09/2012
Last updated
04/17/2024
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