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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARSHALL ALBERT CANIZALEZ, AU.D

Active

MARSHALL ALBERT CANIZALEZ, AU.D is a Audiologist healthcare provider located in GRESHAM, Oregon. NPI 1376205278 is currently active in the NPPES registry. Verify at CMS.

Audiologist · GRESHAM, OR

Registration Details

NPI Number
1376205278
Provider Type
Individual
Gender
Male
NPI Issued
Oct 7, 2021 (4.8139283839442 yrs)
Last Updated
Dec 29, 2022
Licenses
147001852 (IL)
31054 (OR)

Practice Information

Address
24076 SE STARK ST STE 230
GRESHAM, OR, 970303385
Browse OR providers · Browse ZIP 97030
Phone
5034882600
Fax
5034655468
Primary Specialty
Audiologist
231H00000X
Additional Specialty
Audiologist

Other Audiologist Providers in GRESHAM, OR

Name Credential NPI
LOTTIE RENEE ROTTERMAN AUD 1871792580
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.