Provider Demographics
NPI:1740580778
Name:MARKHAM, JAMES (NBC-HIS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:MARKHAM
Suffix:
Gender:M
Credentials:NBC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18829 WILLAMETTE DR
Mailing Address - Street 2:
Mailing Address - City:WEST LINN
Mailing Address - State:OR
Mailing Address - Zip Code:97068-1711
Mailing Address - Country:US
Mailing Address - Phone:503-924-7433
Mailing Address - Fax:503-924-7432
Practice Address - Street 1:18829 WILLAMETTE DR
Practice Address - Street 2:
Practice Address - City:WEST LINN
Practice Address - State:OR
Practice Address - Zip Code:97068-1711
Practice Address - Country:US
Practice Address - Phone:503-924-7433
Practice Address - Fax:503-924-7432
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORHAS-P-479772237700000X
WAHA 60016416237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist