NPI 1235340688 · live from the CMS NPI Registry
Susan Marie Doucette, Au.D, CCC-A
Audiologist in Portland, OR. National Provider Identifier 1235340688, active.
NPI record
| NPI | 1235340688 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 1040 Nw 22nd Ave, Suite 460, Portland, OR 97210 |
| Practice phone | 503-413-6744 |
| Mailing address | Po Box 4037, Portland, OR 97208 |
| Enumerated | May 25, 2007 |
| Last updated | February 13, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 20752 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.