Individual
JOANN B. PERCIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE NRC04, PORTLAND, OR 97239-3011
(503) 494-2920
(503) 494-5656
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE NRC04, PORTLAND, OR 97239-3098
(503) 494-2920
(503) 494-5656
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
21653
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
248133
—
OR
Enumeration date
05/25/2007
Last updated
03/07/2011
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