Individual
GAYATRI RAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, CCC-SLP
Contact information
Practice address
4804 NW BETHANY BLVD STE I2, PORTLAND, OR 97229-9195
(503) 407-8156
Mailing address
4804 NW BETHANY BLVD STE I2, PORTLAND, OR 97229-9195
(503) 407-8156
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15115
OR
Other
Enumeration date
07/29/2018
Last updated
03/10/2026
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