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Individual

MRS. ANNE BORDELON PACHECO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
HEARING AID SPECIALI

Contact information

Practice address
350 NW EASTMAN PKWY, GRESHAM, OR 97030-7203
(503) 667-3832
(503) 465-4768
Mailing address
6700 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3405
(612) 351-1529

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
OR
237700000X
Hearing Instrument Specialist
Primary
HAS-P-10129545
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HAS-P-10129545
OREGON HEALTH LICENSE
OR
Enumeration date
11/30/2009
Last updated
12/10/2018
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