NPI 1992025795 · live from the CMS NPI Registry
Anna Colleen Diedesch, Au.D.
Audiologist in Portland, OR. National Provider Identifier 1992025795, active.
NPI record
| NPI | 1992025795 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 3710 Sw Us Veterans Hospital Rd, Ncrar, Portland, OR 97239 |
| Practice phone | 503-220-8262 |
| Enumerated | June 3, 2010 |
| Last updated | June 3, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 23196 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.