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NPI 1982975140 · live from the CMS NPI Registry

Jillian Becker, Au.D.

Audiologist in Portland, OR. National Provider Identifier 1982975140, active.

NPI record

NPI1982975140 Type 1 · individual
StatusActive
Primary specialtyAudiologist 231H00000X
Practice location3181 Sw Sam Jackson Park Rd, Pv-01, Suite 250-36, Portland, OR 97239
Practice phone503-494-5171
Mailing address3181 Sw Sam Jackson Park Rd, Ste. 250, Pv-01, Portland, OR 97239
EnumeratedJanuary 19, 2012
Last updatedApril 14, 2014
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Audiologist primary231H00000X23575 (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.