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NPI Code Detail

MEDICARE: JESSICA ZABALDO

MEDICARE: JESSICA ZABALDO
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
1237700000XHearing Instrument SpecialistHASP10119121OR

General Provider Information

NPI Number : 1962672543
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA ZABALDO
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 :
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 :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2008
Last Update Date : 03/01/2012

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Directions to “ JESSICA ZABALDO ” Practice Location

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