NPI 1295896835

Rickey Sam Fauvor

Practitioner Hearing Instrument Specialist Meridian, ID

Practice location

Address: 2512 N Stokesberry Pl STE 102, Meridian, ID 83646-1135
Phone: (208) 229-3238
Fax: (208) 880-4245
Mailing address: 1939 E Burnside St, Portland, OR 97214-1535

Registered specialties (2)

Hearing Instrument Specialist Primary

Speech, Language and Hearing Service Providers Taxonomy 237700000X Licence HA3089 (ID)

Other Hearing Instrument Specialist providers in Idaho →

Hearing Instrument Specialist

Speech, Language and Hearing Service Providers Taxonomy 237700000X Licence HAS-P-916188 (OR)

Registry record

NPI: 1295896835
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Dec 2006
Record last updated: 18 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.