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Individual

MRS. BETH A LOUGH

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
5200 SW MACADAM AVE, SUITE 100, PORTLAND, OR 97239-6103
(502) 224-1998
(503) 224-5176
Mailing address
3052 NE PACIFIC ST, PORTLAND, OR 97232-2453
(503) 233-7116

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
09125393
235Z00000X
Speech-Language Pathologist
Primary
12044
OR

Other

Enumeration date
05/10/2006
Last updated
07/08/2007
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