SUSAN M AGRICOLA (NPI# 1518196724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518196724 |
| Entity Type | Individual |
| Full Name | SUSAN M AGRICOLA |
| Credential | M.S. |
| Practice Address |
9843 Sw Alsea Dr Tualatin OR 97062-9543 |
| Mailing Address |
Po Box 826 Tualatin OR 97062-0826 |
| Practice Telephone | 5036120449 |
| Mailing Telephone | 5036120449 |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2015-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237600000X | Audiologist-Hearing Aid Fitter | 12120 | OR | Speech, Language and Hearing Service Providers |
| Street Address |
9843 SW ALSEA DR |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062-9543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
| 1932607934 | Naturalways Pediatrics | Clinic/Center | 18813 Sw Martiazzi Ave, Tualatin, OR 97062 | 2018-01-25 |
| 1831646280 | Elizabeth Erin Tafesse | Behavioral Analyst | 18765 Sw Boones Ferry Rd Suite 100, Tualatin, OR 97062 | 2016-09-01 |
| 1962851311 | Ana Mercedes Cerritos-sanchez | Community Health Worker | 19355 Sw 65th Ave Apt A5, Tualatin, OR 97062 | 2016-06-07 |
| 1952759318 | William Luke Summers | Counselor | 18840 Southwest Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2016-05-26 |
| 1730536913 | Krystle Alligood | Behavioral Analyst | 18768 Sw Boones Ferry Road, Tualatin, OR 97062 | 2016-05-18 |
| 1760869739 | Oregon City Medical Nw, Inc | Clinic/Center | 6464 Sw Borland Road #d-4, Tualatin, OR 97062 | 2015-04-29 |
| 1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
| 1043646474 | Michelle Lords | Registered Nurse | 7668 Sw Mohawk Street, Tualatin, OR 97062 | 2013-09-17 |
| 1871930750 | Sharon Ruth Frank | Social Worker | 7668 Sw Mohawk St., Aps Healthcare, Tualatin, OR 97062 | 2013-05-31 |
| Find all providers in zip 97062 | ||||
| Taxonomy Code | 237600000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist-Hearing Aid Fitter |
| An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual’s hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists". |
| Notes: Source: American Academy of Audiology, 1735 N. Lynn St, Suite 950, Arlington VA 22209, (800)AAA-2336) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093110116 | Michael B Kelty | Audiologist-Hearing Aid Fitter | 3975 River Rd N Ste 1, Keizer, OR 97303-4811 | 2014-10-31 |
| 1508109406 | Daniel C Bancroft | Audiologist-Hearing Aid Fitter | 4130 Sw 117th Ave Ste D, Beaverton, OR 97005-4632 | 2013-03-29 |
| 1760730337 | Columbia Gorge Hearing Care LLC | Audiologist-Hearing Aid Fitter | 1815 E 19th St, Suite 1, The Dalles, OR 97058-3385 | 2012-08-29 |
| 1447551452 | Jeana Foster Anderson | Audiologist-Hearing Aid Fitter | 45 Hawthorne St Ste 3, Medford, OR 97504-7166 | 2010-11-07 |
| 1184939464 | Barika LLC | Audiologist-Hearing Aid Fitter | 184 Clear Creek Dr, Suite 1, Ashland, OR 97520-1977 | 2010-08-11 |
| 1992033062 | Anne Bordelon Pacheco | Audiologist-Hearing Aid Fitter | 350 Nw Eastman Pkwy, Gresham, OR 97030-7203 | 2009-11-30 |
| 1972709871 | Benjamin T Schultz | Audiologist-Hearing Aid Fitter | 360 Nw Eastman Pkwy, Gresham, OR 97030-7203 | 2007-06-26 |
| 1821128216 | David W Brockett | Audiologist-Hearing Aid Fitter | 3000 Nw Stewart Pkwy, Roseburg, OR 97471-1655 | 2007-03-06 |
| 1710012760 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 315 Coburg Rd, Suite B, Eugene, OR 97401-6114 | 2007-02-22 |
| 1659406619 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 11529 Sw Pacific Hwy, B, Tigard, OR 97223-8770 | 2007-02-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.