Organization
AUDIOLOGY CENTER NORTHWEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC FREDERICK AUD (OWNER/AUDIOLOGIST)
(503) 928-4327
Entity
Organization
Contact information
Practice address
1225 NE 2ND AVE, PORTLAND, OR 97232-2003
(503) 928-4327
Mailing address
10350 N VANCOUVER WAY # 236, PORTLAND, OR 97217-7530
(503) 928-4327
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
11/24/2009
Last updated
11/24/2009
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