Erika Shakespeare, CCC-A
Audiologist in La Grande, OR. Individual provider (NPI-1).
NPI number1487963948
StatusActive
Last updated in NPPESDec 13, 2023
Details
- NPI
- 1487963948
- Entity type
- Individual (NPI-1)
- Name
- Erika Shakespeare
- Credential
- CCC-A
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 1, 2010
- Certification date
- Dec 13, 2023
- Last updated
- Dec 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 231H00000X | Audiologist | AUD1096 | ID | Yes |
Practice location
710 Sunset Dr Ste FLa Grande, OR 97850-1200
Phone 541-663-3100 · Fax 541-975-5135
Mailing address
1404 4th StLa Grande, OR 97850-2502
Phone 541-612-7555
Other practice locations
510 N 2nd St Ste 201
Boise, ID 83702-6078
Boise, ID 83702-6078
Phone 208-385-3440 · Fax 208-385-3440
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