| Heather M Durham, CCC-A | |
| 707 Sw Gaines St, Portland, OR 97239-2901 | |
| (800) 452-3563 | |
| Not Available | 
| Full Name | Heather M Durham | 
|---|---|
| Gender | Female | 
| Speciality | Audiologist | 
| Location | 707 Sw Gaines St, Portland, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1356448179 | NPI | - | NPPES | 
| 231983 | Medicaid | OR | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 231H00000X | Audiologist | 22406 (Oregon) | Primary | 
| Provider Name | University Professional Services | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Heather M Durham, CCC-A 1111 Ne Tillamook, No. 4, Portland, OR 97212 Ph: () - | Heather M Durham, CCC-A 707 Sw Gaines St, Portland, OR 97239-2901 Ph: (800) 452-3563 | 
| Haley Anna Szabo, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-5171 | |
| Cynthia Herzog, M.S. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 921 Nw 18th Ave, Portland, OR 97209 Phone: 503-227-3666 | |
| Allison M. Connolly, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 9135 Sw Barnes Rd Ste 561, Portland, OR 97225 Phone: 503-216-2339 | |
| Maritza Zaldivar-lima, AU.D Audiologist Medicare: Medicare Enrolled Practice Location: 9135 Sw Barnes Rd Ste 561, Portland, OR 97225 Phone: 503-216-2339 | |
| Michele Samantha Lewis, PH.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-220-8262 | |
| Mrs. Christina Marie Adams, AUD, CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3502 Ne Broadway St, Portland, OR 97232 Phone: 503-284-1906 Fax: 503-546-0894 | |
| Dustin Ooley,  Audiologist Medicare: Not Enrolled in Medicare Practice Location: 833 Ne 74th Ave, Portland, OR 97213 Phone: 503-916-5570 |