Provider Demographics
NPI:1093286353
Name:RATTS, HALEIGH RAE (MS CF - SLP)
Entity Type:Individual
Prefix:
First Name:HALEIGH
Middle Name:RAE
Last Name:RATTS
Suffix:
Gender:F
Credentials:MS CF - SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2270 NW SAVIER ST APT 219
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210-3903
Mailing Address - Country:US
Mailing Address - Phone:303-875-7552
Mailing Address - Fax:
Practice Address - Street 1:2270 NW SAVIER ST APT 219
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-3903
Practice Address - Country:US
Practice Address - Phone:303-875-7552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR016331235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist