NPI 1356573356

Sara Michelle Bodack, AUD

Practitioner Audiologist Vancouver, WA

Practice location

Address: 2525 NE 139th St STE 230, Vancouver, WA 98686-2719
Phone: (360) 882-2778
Fax: (360) 604-1673
Mailing address: PO Box 4825, Portland, OR 97208-4825

Registered specialties (2)

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence LD60953985 (WA)

Other Audiologist providers in Washington →

Audiologist

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 80250 (TX)

Registry record

NPI: 1356573356
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Aug 2009
Record last updated: 30 Sep 2019

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.