NPI 1811156110 · live from the CMS NPI Registry
Laraine Gladstone, MS CCC-A
Audiologist-Hearing Aid Fitter in Portland, OR. National Provider Identifier 1811156110, active.
NPI record
| NPI | 1811156110 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist-Hearing Aid Fitter 237600000X |
| Practice location | 3600 N Interstate Ave, Portland, OR 97227 |
| Practice phone | 503-331-6396 |
| Mailing address | 3600 N Interstate Avenue, Portland, OR 97227 |
| Enumerated | June 3, 2008 |
| Last updated | June 3, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist-Hearing Aid Fitter primary | 237600000X | 21943 (OR) |
| Audiologist-Hearing Aid Fitter | 237600000X | HAS P 124108 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.