Kelly Mccormick BC-HIS

NPI 1164552998 - Hearing Instrument Specialist - 237700000X

NPI Details
NPI 1164552998
Gender Male
Enumeration Date 03/07/2007
Last Updated 07/19/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
1939 E BURNSIDE ST
PORTLAND OR, 97214-1535, US
Phone (503) 233-6141
Fax (503) 233-2889
Business Location
1939 E BURNSIDE ST
PORTLAND OR, 97214-1535, US
Phone (503) 233-6141
Fax (503) 233-2889
Toxanomy
Taxonomy Code 237700000X
License State Washington
License Number HA00002483
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According to our database, Mr. Kelly Mccormick BC-HIS NPI is 1164552998, taxonomy code is 237700000X and license number is HA00002483, license state is located at Washington. Kelly Mccormick BC-HIS physically located at 1939 E Burnside St, Portland OR, 97214-1535. NPI Number Kelly Mccormick BC-HIS has the Individual type.

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1164552998 NPI number is provided on an as is basis without warranty of any kind. 1164552998 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Mccormick BC-HIS are for informational purposes only.