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General NPI Number Information
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NPI Number | 1093160772
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Entity Type | Organization
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Legal Business Name | SERPA AUDIOLOGY, LLC
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Dates
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Enumeration Date | 04/29/2016
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 2030 NE 44TH AVE
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City | PORTLAND
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State | OR
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Zip | 97213-1310
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Country | US
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Telephone | 503-774-3668
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Fax |
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Provider Business Mailing Address
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Address Line | 2030 NE 44TH AVE
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City | PORTLAND
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State | OR
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Zip | 97213-1310
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Country | US
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Telephone | 503-774-3668
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Fax |
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Authorized Official
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Title or Position | AUDIOLOGIST/OWNER
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Name | EVONNE N SERPA
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Credential | AUD
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Telephone | 503-774-3668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 22183
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License Number State | OR
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