Individual
DR. PAUL PENDERGRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
316 NE 60TH AVE, APT A1, PORTLAND, OR 97213-3765
(336) 339-2588
Mailing address
316 NE 60TH AVE, APT A1, PORTLAND, OR 97213-3765
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
030803
OR
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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