Provider Demographics
NPI:1376664003
Name:OSTROWSKI, SHARON MARIE (HAD)
Entity type:Individual
Prefix:MR
First Name:SHARON
Middle Name:MARIE
Last Name:OSTROWSKI
Suffix:
Gender:F
Credentials:HAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8800 SE SUNNYSIDE RD.
Mailing Address - Street 2:STE 300-N
Mailing Address - City:CLACKAMAS
Mailing Address - State:OR
Mailing Address - Zip Code:97015-5738
Mailing Address - Country:US
Mailing Address - Phone:503-659-5115
Mailing Address - Fax:201-791-1241
Practice Address - Street 1:645 HAMBURG TPKE
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2098
Practice Address - Country:US
Practice Address - Phone:973-595-8811
Practice Address - Fax:973-595-8818
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMG00009980000174400000X
237600000X
NJ25MG00099800237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
No174400000XOther Service ProvidersSpecialist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter