Kimberli Kevin Davenport-Holla in Portland - Audiologist
Kimberli Kevin Davenport-Holla - NPI 1770567562
Kimberli Kevin Davenport-Holla is a Audiologist in Portland, Oregon. Kimberli Kevin Davenport-Holla practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Kimberli Kevin Davenport-Holla is 1770567562. The last update date is 2007-07-08.
Kimberli Kevin Davenport-Holla's current location address is 5620 Se Lambert St, Portland, Oregon. You can contact this provider via phone number 5034751266. The mailing address for Kimberli Kevin Davenport-Holla is 5620 Se Lambert St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberli Kevin Davenport-Holla |
|---|---|
| Address | 5620 Se Lambert St, Portland, Oregon |
| Phone Number | 5034751266 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | MS CCCA |
NPI Number Detail
| NPI Number | 1770567562 |
|---|---|
| Provider Enumeration Date | 2005-12-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5620 Se Lambert St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 97206 |
| Phone Number | 5034751266 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Audiologist |
|---|---|
| Taxonomy | 231H00000X |
| Licence No | 22613 |
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Definition: (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditor |
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What is the unique identification code assigned to Kimberli Kevin Davenport-Holla by the Centers for Medicare & Medicaid Services?
The Kimberli Kevin Davenport-Holla has been issued the NPI (National Provider Identifier) 1770567562. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kimberli Kevin Davenport-Holla located?
The Kimberli Kevin Davenport-Holla is located at 5620 Se Lambert St, Portland, OR 97206.
What is the Kimberli Kevin Davenport-Holla's area of specialization and corresponding taxonomy classification?
The Kimberli Kevin Davenport-Holla's specialty field is Audiologist, and it falls under the taxonomy code 231H00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1770567562 assigned to Kimberli Kevin Davenport-Holla?
The Kimberli Kevin Davenport-Holla was issued its 1770567562 on 2005-12-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kimberli Kevin Davenport-Holla most recently updated or refreshed?
The details pertaining to the Kimberli Kevin Davenport-Holla, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.