Individual
JUSTIN M FEVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD.
Contact information
Practice address
610 N MISSION ST STE 120, WENATCHEE, WA 98801-2065
(509) 665-3100
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD00003823
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0191821
L&I
WA
05
—
8410441
—
WA
Enumeration date
07/06/2006
Last updated
11/26/2024
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