Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN STACIE THEILACKER, AUD
ActiveKATHLEEN STACIE THEILACKER, AUD is a Audiologist healthcare provider located in CLACKAMAS, Oregon. NPI 1205348166 is currently active in the NPPES registry. Verify at CMS.
Audiologist · CLACKAMAS, OR
Registration Details
- NPI Number
- 1205348166
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 1, 2017 (8.5975870810991 yrs)
- Last Updated
- Sep 14, 2022
- Licenses
-
4382 (CA)31052 (OR)
Practice Information
- Address
-
9280 SE SUNNYBROOK BLVD STE 300CLACKAMAS, OR, 970159353Browse OR providers · Browse ZIP 97015
- Phone
- 5032335548
- Fax
- 5032301009
- Primary Specialty
-
Audiologist
231H00000X
- Additional Specialty
- Audiologist
Other Audiologist Providers in CLACKAMAS, OR
| Name | Credential | NPI |
|---|---|---|
| KAREN FOWLER | MS | 1063437259 |
| HEATHER KATHLEEN PARRISH | CCC-A | 1801954961 |
| SERENA AMBER-NELLE SHAFER | AU.D. | 1679766208 |
| CAROL ANN GREGORY | M.S. | 1205093796 |
| TRISHA M COPELAND | AUD | 1811145246 |
| LOIS G DICKINSON | AUD | 1699923029 |
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.