Madison Latchaw

NPI #1164202909 in Beaverton, Oregon

Provider Information

NPI Number: 1164202909
Entity Type: Individual
Name: Madison Latchaw
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 29, 2023
Last Updated: Sep 29, 2023

Practice Location

Address: 6200 SW ARCTIC DR
City: Beaverton
State: Oregon
ZIP Code: 97005-9447
Phone: (503) 686-1786

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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