Smith Fowler, Glenda Audrey

Smith Fowler, Glenda Audrey is an individual health care provider with primary practice located at 2611 Pringle Rd Se , Salem OR 97302-1533. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Smith Fowler, Glenda Audrey can be contacted via phone (503) 385-4709.

Contact Information

Primary practice address
2611 Pringle Rd Se Salem OR 97302-1533
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X

Profile Details

NPI number 1023233376
LBN Legal business name Smith Fowler, Glenda Audrey
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Sep 16th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023233376 NPPES
Oregon MEDICAID 297154

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