Tucker-maxon Oral School

NPI 1245407386 - Audiologist - 231H00000X

NPI Details
NPI 1245407386
Enumeration Date 05/08/2008
Last Updated 05/08/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name STEVE STEVE
Position EXECUTIVE DIRECTOR
Phone (503) 235-6551
Fax
Practice Location
2860 SE HOLGATE BLVD
PORTLAND OR, 97202-3658, US
Phone (503) 235-6551
Fax
Business Location
2860 SE HOLGATE BLVD
PORTLAND OR, 97202-3658, US
Phone
Fax
Toxanomy
Taxonomy Code 231H00000X
License State Oregon
License Number 22613
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According to our database, Tucker-maxon Oral School NPI is 1245407386, taxonomy code is 231H00000X and license number is 22613, license state is located at Oregon. Tucker-maxon Oral School physically located at 2860 Se Holgate Blvd, Portland OR, 97202-3658. NPI Number 1033115704 has the healthcare provider type.

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1245407386 NPI number is provided on an as is basis without warranty of any kind. 1245407386 is maintained by the National Plan & Provider Enumeration System. The contents of Tucker-maxon Oral School are for informational purposes only.