| NPI | 1760250294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY MANKIN ANDERSON Audiologist 541-280-7548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2024-10-16 |