Provider Demographics
NPI:1780034637
Name:FURSETH, KRISTEN (AUD)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:
Last Name:FURSETH
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14602 NE FOURTH PLAIN BLVD
Mailing Address - Street 2:SUITE H
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98682-5000
Mailing Address - Country:US
Mailing Address - Phone:360-425-3444
Mailing Address - Fax:
Practice Address - Street 1:14602 NE FOURTH PLAIN BLVD
Practice Address - Street 2:SUITE H
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98682-5000
Practice Address - Country:US
Practice Address - Phone:360-425-3444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist