Individual
SEPHANIE RACHEL PESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, BLDG 100 ROOM 1D 103, PORTLAND, OR 97239-2964
(630) 913-1238
Mailing address
PO BOX 1034, MAIL CODE P2AUD, PORTLAND, OR 97207-1034
(630) 913-1238
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147.001364
IL
Other
Enumeration date
09/09/2010
Last updated
12/25/2010
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