Provider Demographics
NPI:1982816765
Name:PIEPER, PATRICIA ANN (AUD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:ANN
Last Name:PIEPER
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 1:12275 SW WINTERHAWK LN
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97007-8854
Mailing Address - Country:US
Mailing Address - Phone:503-216-5979
Mailing Address - Fax:503-216-6813
Practice Address - Street 1:9155 SW BARNES RD
Practice Address - Street 2:GERRY FRANK CENTER FOR CHILDREN
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-6625
Practice Address - Country:US
Practice Address - Phone:503-216-5979
Practice Address - Fax:503-216-6813
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR22871231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist