Provider Demographics
NPI:1639384365
Name:LANGHORST, BETH HOOVER (PHD)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:HOOVER
Last Name:LANGHORST
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16154 NOLA CT
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-4354
Mailing Address - Country:US
Mailing Address - Phone:503-705-2465
Mailing Address - Fax:503-210-9099
Practice Address - Street 1:15100 BOONES FERRY RD
Practice Address - Street 2:SUITE 800A
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-3469
Practice Address - Country:US
Practice Address - Phone:503-705-2465
Practice Address - Fax:503-210-9099
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1478103TC0700X, 103TC2200X, 103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy