| Audiology And Hearing Aid Center Of Gresham | |
|
752 Ne Burnside St, Gresham, OR 97030 | |
| (503) 669-7061 | |
| (503) 492-3033 |
| Full Name | Audiology And Hearing Aid Center Of Gresham |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 752 Ne Burnside St, Gresham, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467521583 | NPI | - | NPPES |
| 182446 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 0310108088 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Audiology And Hearing Aid Center Of Gresham 752 Ne Burnside St, Gresham, OR 97030 Ph: (503) 669-7061 | Audiology And Hearing Aid Center Of Gresham 752 Ne Burnside St, Gresham, OR 97030 Ph: (503) 669-7061 |
Marshall Albert Canizalez, AU.D Audiologist Medicare: Medicare Enrolled Practice Location: 24076 Se Stark St Ste 230, Gresham, OR 97030 Phone: 503-488-2600 Fax: 503-465-5468 | |
Lottie Renee Rotterman, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 24076 Se Stark St, Suite 230, Gresham, OR 97030 Phone: 503-465-5461 Fax: 503-465-5468 |