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Contact Information

AUDIOLOGY AND HEARING AID CENTER OF GRESHAM
752 NE BURNSIDE ST
GRESHAM, OR97030
 Phone: 503-669-7061
 Fax: 503-492-3033
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Audiologist

231H00000X 64 Audiologist
Indicates primary specialty

NPI Profile & details for AUDIOLOGY AND HEARING AID CENTER OF GRESHAM · (Female)

NPI Number 1467521583
Status Active
Credentials
Entity Individual
Enumeration date 11/06/2006
Last updated 08/13/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR License # 0310108088
  • OR Medicaid 182446
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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