Individual
TARAN MCLEOD CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NBC-HIS
Contact information
Practice address
514 7TH ST, OREGON CITY, OR 97045-2235
(503) 239-8918
(503) 239-0669
Mailing address
2532 BENJAMIN AVE NW, SALEM, OR 97304-2545
(408) 564-3006
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
HAS-P-10173715
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HAS-P-10173715
OREGON HEARING AID SPECIALIST LICENSE
OR
Enumeration date
04/09/2021
Last updated
04/09/2021
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