Organization
TUCKER-MAXON ORAL SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE NOYCE (EXECUTIVE DIRECTOR)
(503) 235-6551
Entity
Organization
Contact information
Practice address
2860 SE HOLGATE BLVD, PORTLAND, OR 97202-3658
(503) 235-6551
Mailing address
2860 SE HOLGATE BLVD, PORTLAND, OR 97202-3658
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
22613
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002829
—
OR
Enumeration date
05/08/2008
Last updated
05/08/2008
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