| NPI | 1912111980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL JEFFREY BERG President Audiologist 541-474-4694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: OR 20545) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2019-11-19 |