NPI 1215415385 · live from the CMS NPI Registry
Lucas Duberow
Hearing Instrument Specialist in Tigard, OR. National Provider Identifier 1215415385, active.
NPI record
| NPI | 1215415385 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Hearing Instrument Specialist 237700000X |
| Practice location | 15660 Sw Pacific Hwy Ste A5, Tigard, OR 97224 |
| Practice phone | 503-968-6445 |
| Mailing address | 6700 Washington Ave S, Eden Prairie, MN 55344 |
| Enumerated | August 1, 2018 |
| Last updated | April 2, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | — |
| Hearing Instrument Specialist primary | 237700000X | HAS-P-10145077 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.