Wellformed AI

NPI 1255878419 · live from the CMS NPI Registry

Audigy Venture Group LLC

Audiologist in Milwaukie, OR. National Provider Identifier 1255878419, active.

NPI record

NPI1255878419 Type 2 · organization
StatusActive
Primary specialtyAudiologist 231H00000X
Practice location10330 Se 32nd Ave, Suite 320, Milwaukie, OR 97222
Practice phone360-816-2958
Mailing address203 Se Park Plaza Dr, Suite 270, Vancouver, WA 98684
EnumeratedJanuary 26, 2017
Last updatedJanuary 26, 2017
Authorized officialMark Drahn, Director Of Operations
Other namesHearing Center Of Portland

Taxonomies and licenses

TaxonomyCodeLicense
Audiologist primary231H00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.