MR. BRET ANTHONY WONDERLICK (NPI# 1982940169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982940169 |
| Entity Type | Individual |
| Full Name | MR. BRET ANTHONY WONDERLICK |
| Credential | M.S. CCC-A |
| Practice Address |
1849 Nw Kearney St Suite 200 Portland OR 97209-1453 |
| Mailing Address |
2702 Ne Bryce St Portland OR 97212-1638 |
| Practice Telephone | 9715705387 |
| Mailing Telephone | 5035679392 |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2013-06-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 21957 | OR | Speech, Language and Hearing Service Providers |
| Street Address |
1849 NW KEARNEY ST SUITE 200 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-1453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346249281 | Bryce Earl Potter | Oral & Maxillofacial Surgery | 1849 Nw Kearney St, Ste 300, Portland, OR 97209-1453 | 2005-07-20 |
| 1114372653 | Oregon Interventional Pain Consultants, LLC | Clinic/Center | 1849 Nw Kearney St, Suite 201, Portland, OR 97209-1453 | 2016-05-03 |
| 1043537707 | Allen C Cheng | Oral & Maxillofacial Surgery | 1849 Nw Kearney St, Suite 300, Portland, OR 97209 | 2010-04-21 |
| 1023331469 | Trauma Specialists, LLP | Specialist | 1849 Nw Kearney St, Suite 100, Portland, OR 97209-1453 | 2010-03-11 |
| 1053643023 | Karen Susan Hoyt | Registered Nurse | 1849 Nw Kearney St, Suite 300, Portland, OR 97209-1453 | 2010-02-02 |
| 1730332198 | John David Miller | Dentist | 1849 Nw Kearney St, Suite 200, Portland, OR 97209-1453 | 2008-10-29 |
| 1396918611 | James P Cuyler, M.d., P.C. | Otolaryngology | 1849 Nw Kearney St, Suite 200, Portland, OR 97209-1453 | 2008-04-08 |
| 1528257961 | R Sterling Hodgson Md LLC | Otolaryngology | 1849 Nw Kearney St, Suite 200, Portland, OR 97209-1453 | 2007-10-22 |
| 1043415870 | Ashish A Patel | Oral & Maxillofacial Surgery | 1849 Nw Kearney St, Suite 300, Portland, OR 97209 | 2007-06-20 |
| 1821153941 | Head & Neck Surgical Associates, PC | Otolaryngology | 1849 Nw Kearney St, Suite 300, Portland, OR 97209-1453 | 2006-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629624945 | Lisa Ann Fratini | Audiologist | 3181 Sw Sam Jackson Park Rd Ste 250, Portland, OR 97239-3011 | 2019-08-13 |
| 1548739097 | Danielle Garrido | Audiologist | 12724 Se Stark St Bldg H, Portland, OR 97233-1539 | 2018-11-14 |
| 1548745540 | Alyce Schott | Audiologist | 3181 Sw Sam Jackson Park Rd Ste 250.36, Portland, OR 97239-3098 | 2018-09-26 |
| 1518440080 | Lauren Marie Rynders | Audiologist | 919 Ne 19th Ave Ste 170, Portland, OR 97232-2210 | 2018-09-11 |
| 1053894626 | Oriana P Maldonado | Audiologist | 501 N Graham St Ste 320, Portland, OR 97227-2001 | 2018-09-10 |
| 1083195317 | Kimberly Michiko Nakayama | Audiologist | 2230 Nw Pettygrove St Ste 120, Portland, OR 97210-2659 | 2018-08-24 |
| 1295277622 | Amanda Ruth Kidman | Audiologist | 13003 Sw Brianne Way, Portland, OR 97223 | 2016-11-16 |
| 1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
| 1548633266 | Rachel Wilson | Audiologist | 919 Ne 19th Ave, 170, Portland, OR 97232-2210 | 2015-11-03 |
| 1134520604 | Paul Pendergraft | Audiologist | 316 Ne 60th Ave, Apt A1, Portland, OR 97213-3765 | 2014-09-15 |
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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.