NPI 1679919807 · live from the CMS NPI Registry
Jennifer Fowler, Au.D.
Audiologist in Portland, OR. National Provider Identifier 1679919807, active.
NPI record
| NPI | 1679919807 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 |
| Practice phone | 503-494-5171 |
| Enumerated | May 15, 2013 |
| Last updated | May 15, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 30763 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.