Individual
DR. SHAELEEN M FAGRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
10564 5TH AVE NE, #203, SEATTLE, WA 98125-7200
(206) 367-1345
Mailing address
115 SHEVLIN HALL, 164 PILLSBURY DR SE, MINNEAPOLIS, MN 55455
(612) 624-3322
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HT 8374
STATE CALIFORNIA DEPT. CONSUMER AFFAIRS HEARING AID DISPENSER
CA
01
—
RPE 5026
SPEECH LANGUAGE PATHOLOGY AUDIOLOGY BOARD
CA
Enumeration date
08/27/2008
Last updated
11/16/2017
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