Provider Demographics
NPI:1275854804
Name:SCHEURER, DARIN T (BA, HIS)
Entity Type:Individual
Prefix:
First Name:DARIN
Middle Name:T
Last Name:SCHEURER
Suffix:
Gender:M
Credentials:BA, HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6723 SW 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-2001
Mailing Address - Country:US
Mailing Address - Phone:503-208-4608
Mailing Address - Fax:503-245-5958
Practice Address - Street 1:6723 SW 12TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-2001
Practice Address - Country:US
Practice Address - Phone:503-208-4608
Practice Address - Fax:503-245-5958
Is Sole Proprietor?:No
Enumeration Date:2010-06-17
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORHAS-P-10131255237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAHA61503045OtherSTATE OF WASHINGTON
OR500626907Medicaid