Healthcare Provider Details

I. General information

NPI: 1649460114
Provider Name (Legal Business Name): SPENCER AUDIOLOGY CLINIC, PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2007
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2114 JAMES ST
BELLINGHAM WA
98225-4140
US

IV. Provider business mailing address

2114 JAMES ST
BELLINGHAM WA
98225-4140
US

V. Phone/Fax

Practice location:
  • Phone: 360-527-8525
  • Fax: 360-527-8526
Mailing address:
  • Phone: 360-527-8525
  • Fax: 360-527-8526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License NumberLD00003945
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. PAMELA H. SPENCER
Title or Position: PRESIDENT/OWNER/AUDIOLOGIST
Credential: M.A., CCC-A, FAAA
Phone: 360-527-8525