Provider Demographics
NPI:1477727667
Name:CALLENDER, ABIGAYLE MARIE (AUD)
Entity type:Individual
Prefix:DR
First Name:ABIGAYLE
Middle Name:MARIE
Last Name:CALLENDER
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 1:333 SE 7TH AVE
Mailing Address - Street 2:SUITE 4150
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-4157
Mailing Address - Country:US
Mailing Address - Phone:503-352-2692
Mailing Address - Fax:503-924-6704
Practice Address - Street 1:333 SE 7TH AVE
Practice Address - Street 2:SUITE 4150
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-4157
Practice Address - Country:US
Practice Address - Phone:503-352-2692
Practice Address - Fax:503-924-6704
Is Sole Proprietor?:No
Enumeration Date:2008-04-17
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR30774231H00000X, 231HA2400X, 231H00000X
COAUD625231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR30774OtherOR AUDIOLOGY LICENSE
OR500673805Medicaid
OR30774OtherOR AUDIOLOGY LICENSE