Physician Compare National (NPI:1255415659)

HEALTHCARE PROVIDER: SANDI L.B. YBARRA AU.D.

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

Individual Professional Information
NPI	1255415659
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4082872064
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120222000281
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	YBARRA
	Individual professional last name
Provider First Name	SANDI
	Individual professional first name
Provider Middle Name	L B
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2004
	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	401 E 10TH AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 110
	Group Practice or individual's line 2 address
City	EUGENE
	Group Practice or individual's city
State	OR
	Group Practice or individual's state
Zip Code	974013356
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y