Healthcare Provider Details

I. General information

NPI: 1679486617
Provider Name (Legal Business Name): NAWAL ABDALKHALEK AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 S L ST
TACOMA WA
98405-3720
US

IV. Provider business mailing address

8700 SW 147TH TER UNIT 101
BEAVERTON OR
97007-7488
US

V. Phone/Fax

Practice location:
  • Phone: 253-403-1400
  • Fax:
Mailing address:
  • Phone: 320-224-8058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: