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KATHLEEN THEILACKER, AUD

AUD

NPI: 1205348166IndividualAccepts Medicare

Specialties, Licenses & Credentials

Speech-Language Assistant

Specialist/Technologist — Speech-Language Assistant

Code: 2355S0801X

4382(CA)
AudiologistPrimary

Audiologist

Code: 231H00000X

31052(OR)

Education

OTHER

Class of 2022

Contact & Hours

Address
9280 SE SUNNYBROOK BLVD STE 300
CLACKAMAS, OR 97015

Quick Facts

NPI
1205348166
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
4

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