Healthcare Provider Details

I. General information

NPI: 1417261322
Provider Name (Legal Business Name): RHONDA R DOJAN CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RHONDA R BEER CCC-A

II. Dates (important events)

Enumeration Date: 08/03/2010
Last Update Date: 07/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14411 NE 20TH AVE STE 101
VANCOUVER WA
98686-6431
US

IV. Provider business mailing address

1405 SE 164TH AVE STE 102
VANCOUVER WA
98683-9644
US

V. Phone/Fax

Practice location:
  • Phone: 360-256-4425
  • Fax: 360-254-1844
Mailing address:
  • Phone: 360-256-4425
  • Fax: 360-254-1844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberLD00004652
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: