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Contact Information

COLUMBIA REGIONAL PROGRAM-AUDIOLOGY
833 NE 74TH AVE
PORTLAND, OR97213-6232
 Phone: 503-916-5570
 Fax: 503-916-2750
 Website:
Indicates primary specialty

NPI Profile & details for COLUMBIA REGIONAL PROGRAM AUDIOLOGY · (Female)

NPI # 1275778235
Status Active
Credentials
Entity Individual
Enumeration date 12/04/2008
Last updated 12/04/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR Medicaid 130293
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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