NPI 1851726319 · live from the CMS NPI Registry
Dustin M Bronsdon, Au.D.
Audiologist in Portland, OR. National Provider Identifier 1851726319, active.
NPI record
| NPI | 1851726319 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 2222 Nw Lovejoy St, 607, Portland, OR 97210 |
| Practice phone | 503-222-3638 |
| Mailing address | 9532 Sw 52nd Ave, Portland, OR 97219 |
| Enumerated | September 3, 2013 |
| Last updated | April 6, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 30783 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.