Wellformed AI

NPI 1962853820 · live from the CMS NPI Registry

Mindy Lynn Dimitri, Aud

Audiologist in Portland, OR. National Provider Identifier 1962853820, active.

NPI record

NPI1962853820 Type 1 · individual
StatusActive
Primary specialtyAudiologist 231H00000X
Practice location2222 Nw Lovejoy St Ste 622, Portland, OR 97210
Practice phone503-229-8455
Mailing address541 Ne 20th Ave Ste 225, Portland, OR 97232
EnumeratedJune 22, 2016
Last updatedNovember 26, 2024
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.