Individual
MRS. ELIZABETH DANIELLE THAANUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 HAWTHORNE ST, MEDFORD, OR 97504-7114
(541) 776-3461
Mailing address
1401 UPPER APPLEGATE RD, JACKSONVILLE, OR 97530-9179
(541) 899-2007
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
22174
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002387312-002
UNITEDHEALTHCARE PROV. #
OR
05
—
226610
—
OR
01
—
408242302
PREF. CHOICE 65 PROV. #
OR
01
—
858535002
BCBS OF OREGON PROV. #
OR
01
—
J133302
PACIFICSOURCE PIN NUMBER
OR
Enumeration date
11/02/2005
Last updated
07/09/2007
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