Individual
DR. PHILIP CRIGHTON KING III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
1111 NE 99TH AVE STE 101, PORTLAND, OR 97220-9442
(503) 488-2626
(503) 488-2630
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
31090
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2258846
—
WA
05
—
500827663
—
OR
Enumeration date
08/28/2023
Last updated
11/26/2024
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