Rickey Sam Fauvor in Portland - Hearing Instrument Specialist

Rickey Sam Fauvor - NPI 1295896835

Rickey Sam Fauvor is a Hearing Instrument Specialist in Portland, Oregon. Rickey Sam Fauvor practices all healthcare services and medical treatments related to Hearing Instrument Specialist. The NPI Number for Rickey Sam Fauvor is 1295896835. The last update date is 2021-01-18.

Rickey Sam Fauvor's current location address is 1939 E Burnside St, Portland, Oregon. You can contact this provider via phone number 5032336141 and fax number 5032332889. The mailing address for Rickey Sam Fauvor is 1939 E Burnside St, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Rickey Sam Fauvor
Address 1939 E Burnside St, Portland, Oregon
Phone Number 5032336141
Fax Number 5032332889
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1295896835
Provider Enumeration Date 2006-12-13
Last Updated Date 2021-01-18

Provider Mailing Address Detail

Address 1939 E Burnside St
City Portland
State Oregon (OR)
Post Code 972141535
Phone Number 5032336141
Fax Number 5032332889

Provider's Primary Taxonomy Detail

Speciality Hearing Instrument Specialist
Taxonomy 237700000X
Licence No HAS-P-916188
Definition:
Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
82-3793314 ID INSURANCE
82-3793314 ID --

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FAQs about Rickey Sam Fauvor

What is the unique 10-digit identifier code issued to Rickey Sam Fauvor by the Centers for Medicare & Medicaid Services?

The Rickey Sam Fauvor has been assigned the NPI (National Provider Identifier) 1295896835 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Rickey Sam Fauvor's facilities are geographically located?

The facilities of Rickey Sam Fauvor are physically situated at the following location: 1939 E Burnside St, Portland, OR, 972141535.

What is the Rickey Sam Fauvor's specialty and taxonomy code?

The Rickey Sam Fauvor's specialty is Hearing Instrument Specialist, and the corresponding taxonomy code is 237700000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1295896835 to Rickey Sam Fauvor?

The Rickey Sam Fauvor received its 1295896835 assignment from the Centers for Medicare & Medicaid Services on 2006-12-13.

As of what date were the details related to Rickey Sam Fauvor most recently updated or revised?

The information pertaining to Rickey Sam Fauvor, including its address, specialty, and other relevant details, was last updated or revised on 2021-01-18.

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