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General NPI Number Information
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NPI Number | 1811253461
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Entity Type | Individual
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Provider Name | BRITANIA LATRONICA PH.D.
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Gender | Female
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Dates
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Enumeration Date | 04/09/2012
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Last Update Date | 04/17/2024
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Provider Practice Location Address
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Address Line | 1340 SW BERTHA BLVD STE 202
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City | PORTLAND
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State | OR
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Zip | 97219-2172
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Country | US
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Telephone | 971-417-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 11005 SW 79TH AVE
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City | PORTLAND
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State | OR
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Zip | 97223-8734
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Country | US
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Telephone | 971-417-5500
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 1413
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 2210
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 2483
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 2399
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License Number State | KS
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