Individual provider · Type 1 NPI

Kathleen Stacie Theilacker, AUD

Audiologist · Clackamas, OR

NPI number 1205348166 Active

Practice location

9280 SE Sunnybrook Blvd Ste 300
Clackamas, OR 97015-9353

Fax (503) 230-1009

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant 2355S0801X4382 (CA)
Audiologist Primary 231H00000X31052 (OR)

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…

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About NPI 1205348166

Kathleen Stacie Theilacker, AUD's National Provider Identifier is 1205348166, issued on Nov 1, 2017. The primary taxonomy on file is Audiologist (231H00000X), and the practice location is in Clackamas, OR. The record was last updated on Sep 14, 2022.