| Kathleen Stacie Theilacker, AUD | |
|
9280 Se Sunnybrook Blvd Ste 300, Clackamas, OR 97015-9353 | |
| (503) 233-5548 | |
| (503) 230-1009 |
| Full Name | Kathleen Stacie Theilacker |
|---|---|
| Gender | Female |
| Speciality | Qualified Audiologist |
| Experience | 4 Years |
| Location | 9280 Se Sunnybrook Blvd Ste 300, Clackamas, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205348166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 31052 (Oregon) | Primary |
| 2355S0801X | Specialist/technologist - Speech-language Assistant | 4382 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Oregon Clinic, Pc | 2860390408 | 353 |
| Provider Name | The Oregon Clinic, PC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265417174 PECOS PAC ID: 2860390408 Enrollment ID: O20031222000096 |
| Provider Name | Eastmoreland Ear, Nose & Throat, Clinic, LLP |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1386754398 PECOS PAC ID: 5799758785 Enrollment ID: O20040817001428 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Stacie Theilacker, AUD 9280 Se Sunnybrook Blvd Ste 300, Clackamas, OR 97015-9353 Ph: (503) 233-5548 | Kathleen Stacie Theilacker, AUD 9280 Se Sunnybrook Blvd Ste 300, Clackamas, OR 97015-9353 Ph: (503) 233-5548 |
Soundpoint Audiology & Hearing Services Llc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 8800 Se Sunnyside Rd, Ste 300-n, Clackamas, OR 97015 Phone: 503-659-5115 Fax: 503-659-5968 |
Karen Fowler, MS Audiologist Medicare: Medicare Enrolled Practice Location: 8800 Se Sunnyside Rd Ste 300n, Clackamas, OR 97015 Phone: 503-653-9155 |
Carol Ann Gregory, M.S. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-5142 |
Dr. Lynda Lynell Gigstad Fitzpatrick, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-8095 |
Christina Reyes-fimbres, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 10151 Se Sunnyside Rd Ste 240, Clackamas, OR 97015 Phone: 503-233-5548 Fax: 866-663-1070 |
Rachel Stanziola, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-5142 |
10 Decibel Hearing, Inc. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 9895 Se Sunnyside Rd Ste L, Clackamas, OR 97015 Phone: 971-825-6800 |