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NPI Code Detail

MEDICARE: SUSAN J. ANDERSON AU.D.

MEDICARE: SUSAN J. ANDERSON 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
1231H00000XAudiologistLD00001069WA
2237600000XAudiologist-Hearing Aid FitterLD00001069WA

General Provider Information

NPI Number : 1558408146
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN J. ANDERSON AU.D.
Provider Business Mailing Address
First Line : PO BOX 50095
Second Line :
City : SEATTLE
State : WA
Zip : 98145-5095
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 325 9TH AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98104-2420
Country : US
Telephone Number : 206-520-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2007
Last Update Date : 12/16/2025

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Directions to “ SUSAN J. ANDERSON AU.D.” Practice Location

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