Individual
MINDY LYNN DIMITRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
2222 NW LOVEJOY ST STE 622, PORTLAND, OR 97210-5104
(503) 229-8455
(503) 229-7028
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500714556
—
OR
Enumeration date
06/22/2016
Last updated
11/26/2024
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