Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAMES PATRICK PETRUSICH, DOCTOR OF AUDIOLOGY
ActiveJAMES PATRICK PETRUSICH, DOCTOR OF AUDIOLOGY is a Audiologist healthcare provider located in THE DALLES, Oregon. NPI 1073870689 is currently active in the NPPES registry. Verify at CMS.
Audiologist · THE DALLES, OR
Registration Details
- NPI Number
- 1073870689
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2012 (14.346768744741 yrs)
- Last Updated
- May 9, 2016
- License
-
23599 (OR)
Practice Information
- Address
-
1815 E 19TH STSUITE 1THE DALLES, OR, 970583385Browse OR providers · Browse ZIP 97058
- Phone
- 5412988676
- Fax
- 5412987746
- Primary Specialty
-
Audiologist
231H00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.