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NPI 1629624945 · live from the CMS NPI Registry

Lisa Ann Fratini, AuD

Audiologist in Portland, OR. National Provider Identifier 1629624945, active.

NPI record

NPI1629624945 Type 1 · individual
StatusActive
Primary specialtyAudiologist 231H00000X
Practice location3181 Sw Sam Jackson Park Rd Ste 250, Portland, OR 97239
Practice phone503-494-5171
Mailing address927 Ne Hawthorne Ave, Hillsboro, OR 97124
EnumeratedAugust 13, 2019
Last updatedAugust 13, 2019
Sole proprietorNo

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.