Physician Compare National (NPI:1003032772)

HEALTHCARE PROVIDER: JULIE K VANAUSDAL M.S. CCC-A

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1003032772
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8921105990
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070525000534
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	VANAUSDAL
	Individual professional last name
Provider First Name	JULIE
	Individual professional first name
Provider Middle Name	K
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1988
	Individual professional's medical school graduation year
Primary Specialty	QUALIFIED AUDIOLOGIST
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4444 LACEY BLVD SE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A
	Group Practice or individual's line 2 address
City	LACEY
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	985035730
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y