Individual
DR. SAMUEL MARK BERNHISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
201 9TH ST, MARINA, CA 93933-6039
(503) 327-9492
Mailing address
2005 NE LUCY BELLE ST, MCMINNVILLE, OR 97128-9261
(503) 327-9492
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
030911
OR
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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