NPI 1013468545 · live from the CMS NPI Registry
Allison M. Connolly, AuD
Audiologist in Portland, OR. National Provider Identifier 1013468545, active.
NPI record
| NPI | 1013468545 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 9135 Sw Barnes Rd Ste 561, Portland, OR 97225 |
| Practice phone | 503-216-2339 |
| Mailing address | Po Box 3158, Portland, OR 97208 |
| Enumerated | October 19, 2016 |
| Last updated | April 28, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 30864 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.