Audiology and Hearing Aid Center of Gresham

Primary specialty

AudiologistTaxonomy code 231H00000X

License

0310108088 Issued in OR

Legal business name

AUDIOLOGY AND HEARING AID CENTER OF GRESHAM

Doing business as

Audiology and Hearing Aid Center of Gresham

Practice address

752 NE Burnside St
Gresham, OR 97030

Phone

(503) 669-7061

Fax

(503) 492-3033

NPI assigned

Nov 6, 2006

Last updated

Aug 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sheri L Smith, MS

Title

Audiologist

Phone

(503) 669-7061

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Audiology and Hearing Aid Center of Gresham Doing business as

Locations

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1467521583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 NE BURNSIDE ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "97030",
            "telephone_number": "503-669-7061",
            "fax_number": "503-492-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 NE BURNSIDE ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "97030",
            "telephone_number": "503-669-7061",
            "fax_number": "503-492-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY AND HEARING AID CENTER OF GRESHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "503-669-7061",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "0310108088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182446",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Audiology and Hearing Aid Center of Gresham",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.