Joann B. Percic, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

21653 Issued in OR

Practice address

3181 SW Sam Jackson Park Rd
Mail Code Nrc04
Portland, OR 97239-3011

Phone

(503) 494-2920

Fax

(503) 494-5656

NPI assigned

May 25, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1316158637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "MAIL CODE NRC04",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393098",
            "telephone_number": "503-494-2920",
            "fax_number": "503-494-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "MAIL CODE NRC04",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-2920",
            "fax_number": "503-494-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERCIC",
        "first_name": "JOANN",
        "middle_name": "B.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "21653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "248133",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paige Pepperwood, EDS
• Alexander Pepping
• Johanna Peragine, PHARMD
• Theresa Peranich, L.M.T.
• Rachel Nadine Percell, LMP
• Elspeth Percival
• James Christopher Perdue, CRNP
• Laurie Lynn Perdue, LPC
• Isabella Perea
• Bobbie Pereda, LMT

• Audiologist in Portland, OR
• Providers in Portland, OR by specialty
• Audiologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.