LUCAS DUBEROW (NPI# 1215415385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215415385 |
| Entity Type | Individual |
| Full Name | LUCAS DUBEROW |
| Practice Address |
15660 Sw Pacific Hwy Ste A5 Tigard OR 97224-3556 |
| Mailing Address |
6700 Washington Ave S Eden Prairie MN 55344-3405 |
| Practice Telephone | 5039686445 |
| Practice Fax Number | 5039688968 |
| Mailing Telephone | 8003288602 |
| Mailing Fax Number | 9522853980 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2019-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 237600000X | Audiologist-Hearing Aid Fitter | Speech, Language and Hearing Service Providers | ||
| Y | 237700000X | Hearing Instrument Specialist | HAS-P-10145077 | OR | Speech, Language and Hearing Service Providers |
| Street Address |
15660 SW PACIFIC HWY STE A5 |
| City | TIGARD |
| State | OR |
| Zip Code | 97224-3556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942650668 | Northland Hearing Centers, Inc | Hearing Aid Equipment | 15660 Sw Pacific Hwy Ste A5, Tigard, OR 97224-3556 | 2016-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973139 | Katherine Raineri | Psychologist | 7213 Sw Hazel Fern Rd, Tigard, OR 97224 | 2019-07-10 |
| 1871064618 | Stacey A Wenzel | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Rd.,suite 201, Tigard, OR 97224 | 2018-12-05 |
| 1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
| 1649759358 | Viktoriya A Chiliy | Behavior Technician | 15290 Sw Royalty Parkway, Tigard, OR 97224 | 2018-08-13 |
| 1609384866 | Rachel E King | Physical Therapist | 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224 | 2018-01-22 |
| 1689190134 | Isabelle Cooper Klee Caballero | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Road Suite 201, Tigard, OR 97224 | 2017-08-16 |
| 1427573146 | Breanna M Sandefur | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224 | 2017-08-03 |
| 1083141196 | Krista Espenship | Registered Nurse | 8032 Sw Ashford St, Tigard, OR 97224 | 2017-05-19 |
| 1275067928 | Emily Elizabeth Myers | Behavioral Analyst | 15290 Royalty Parkway, Tigard, OR 97224 | 2017-04-19 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| Find all providers in zip 97224 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255794921 | Revive Hearing LLC | Hearing Instrument Specialist | 11535 Sw Durham Rd, C 3, Tigard, OR 97224-3474 | 2016-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982233250 | Jenessa Bolenbaugh | Hearing Instrument Specialist | 3250 Hillcrest Park Dr Ste 102, Medford, OR 97504-7684 | 2020-04-07 |
| 1144851270 | Katie Cason | Hearing Instrument Specialist | 369 S Columbia River Hwy, Saint Helens, OR 97051-6203 | 2020-01-28 |
| 1619533346 | Carolina Ruvalcaba Lozano | Hearing Instrument Specialist | 1301 Evergreen Rd Ste 120, Woodburn, OR 97071-2802 | 2019-05-17 |
| 1629538608 | Shawn Michael Feddersen | Hearing Instrument Specialist | 1020 Green Acres Rd #8, Eugene, OR 97408 | 2019-03-25 |
| 1457818080 | Emma Elizabeth Britten | Hearing Instrument Specialist | 401 E 10th Ave Ste 110, Eugene, OR 97401-3356 | 2019-03-01 |
| 1295201341 | Alyssa M Bartlett | Hearing Instrument Specialist | 2100 Ne Broadway St Ste 305, Portland, OR 97232-1570 | 2018-10-16 |
| 1801377171 | Brandon Ray Johnston | Hearing Instrument Specialist | 2285 Highway 101 Ste M, Florence, OR 97439-9722 | 2018-08-24 |
| 1013498377 | Best for Hearing | Hearing Instrument Specialist | 2285 Highway 101, Ste. M, Florence, OR 97439-9743 | 2018-08-24 |
| 1508358466 | Richard Ernest Swanson | Hearing Instrument Specialist | 1400 Executive Pkwy Ste 330, Eugene, OR 97401-7121 | 2018-06-05 |
| 1235656265 | Jacob Paul Tauzin | Hearing Instrument Specialist | 5455 Se 91st Ave, Portland, OR 97266-4603 | 2017-08-30 |
| 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.