NPI 1093141889 · live from the CMS NPI Registry
Shelby Atwill, AuD
Audiologist in Beaverton, OR. National Provider Identifier 1093141889, active.
NPI record
| NPI | 1093141889 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 9955 Sw Beaverton Hillsdale Hwy Ste 115, Beaverton, OR 97005 |
| Practice phone | 503-567-2231 |
| Mailing address | 9521 N Portsmouth Ave, Portland, OR 97203 |
| Enumerated | September 24, 2013 |
| Last updated | August 26, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist, Assistive Technology Practitioner | 231HA2400X | — |
| Audiologist-Hearing Aid Fitter | 237600000X | 030777 (OR) |
| Audiologist primary | 231H00000X | 030777 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.