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Contact Information

LUCAS DUBEROW
15660 SW PACIFIC HWY STE A5
TIGARD, OR97224-3556
 Phone: 503-968-6445
 Fax: 503-968-8968
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hearing Instrument Specialist

237700000X
 

Audiologist-Hearing Aid Fitter

237600000X
Indicates primary specialty

NPI Profile & details for LUCAS DUBEROW · (Male)

NPI Number 1215415385
Status Active
Credentials
Entity Individual
Enumeration date 08/01/2018
Last updated 04/02/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OR License # HAS-P-10145077
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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