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NPI Code Detail

MEDICARE: DR. LEAH PAIGE DRULLINGER AUD

MEDICARE: DR. LEAH PAIGE DRULLINGER AUD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237600000XAudiologist-Hearing Aid Fitter22106OR

General Provider Information

NPI Number : 1386082535
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEAH PAIGE DRULLINGER AUD
Provider Business Mailing Address
First Line : 1939 E BURNSIDE ST
Second Line :
City : PORTLAND
State : OR
Zip : 97214-1535
Country : US
Telephone Number : 503-233-6141
Fax Number : 877-432-9940
Provider Business Practice Location Address
First Line : 1939 E BURNSIDE ST
Second Line :
City : PORTLAND
State : OR
Zip : 97214-1535
Country : US
Telephone Number : 503-233-6141
Fax Number : 877-432-9940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2013
Last Update Date : 10/30/2013

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