Individual
EVON PRASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
815 SW BOND ST, BEND, OR 97702-3593
(541) 382-4900
Mailing address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-4900
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
030956
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500787754
—
OR
Enumeration date
08/23/2019
Last updated
12/27/2021
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