| NPI | 1740524966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRET WONDERLICK Audiologist 503-802-5273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: OR 21957) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |