NPI 1285127589 · live from the CMS NPI Registry
Samuel Mark Bernhisel, AuD
Audiologist in Marina, CA. National Provider Identifier 1285127589, active.
NPI record
| NPI | 1285127589 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 201 9th St, Marina, CA 93933 |
| Practice phone | 503-327-9492 |
| Mailing address | 2005 Ne Lucy Belle St, Mcminnville, OR 97128 |
| Enumerated | June 11, 2018 |
| Last updated | June 11, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 030911 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.