Individual
KATHLEEN A. ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
901 E 18TH AVE, EUGENE, OR 97403-1354
(541) 346-3575
Mailing address
2455 JEFFERSON ST, EUGENE, OR 97405-2470
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
20549
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279711
—
OR
Enumeration date
08/01/2006
Last updated
07/08/2007
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