Healthcare Provider Details

I. General information

NPI: 1801000948
Provider Name (Legal Business Name): JULIE MARIE HRANICKA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4130 SW 117TH AVE SUITE D
BEAVERTON OR
97005-5606
US

IV. Provider business mailing address

5000 CHESHIRE LN N
PLYMOUTH MN
55446-3706
US

V. Phone/Fax

Practice location:
  • Phone: 503-252-3238
  • Fax: 503-643-4821
Mailing address:
  • Phone: 888-333-9152
  • Fax: 763-268-4240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number21595
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHASP556655
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: