Individual
MR. PATRICK JAMES VANGROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., CCC-A
Contact information
Practice address
2036 NE WILLIAMSON CT, SUITE 200, BEND, OR 97701-3771
(541) 318-5436
(541) 318-5437
Mailing address
2036 NE WILLIAMSON CT, SUITE 200, BEND, OR 97701-3771
(541) 318-5436
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
22519
OR
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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