MEDICARE: DAVID ANDREW LUTHER AU.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	30785	OR

General Provider Information

NPI Number	:	1316373210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID ANDREW LUTHER AU.D.

Provider Business Mailing Address
First Line	:	8321 SANGRE DE CRISTO RD
Second Line	:	SUITE 202
City	:	LITTLETON
State	:	CO
Zip	:	80127-6425
Country	:	US
Telephone Number	:	303-984-4414
Fax Number	:	303-984-6244

Provider Business Practice Location Address
First Line	:	16699 BOONES FERRY RD
Second Line	:	SUITE 110
City	:	LAKE OSWEGO
State	:	OR
Zip	:	97035-4366
Country	:	US
Telephone Number	:	503-636-4014
Fax Number	:	503-636-4031

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2013
Last Update Date	:	08/04/2015

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