Kathleen Stacie Theilacker, AUD
Kathleen Stacie Theilacker, AUD is a Qualified Audiologist in Clackamas, Oregon. Qualified in 2022, 4 years ago. Practices with The Oregon Clinic, PC, a 352-clinician group and accepts Medicare assignment. Licensed in California and Oregon.
- Years since qualifying
- 4
- Licensed in
- CA, OR
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
- AUD — Doctor of Audiology
- A hearing specialist who tests hearing and fits hearing aids.
Practice location Address checks out
9280 SE Sunnybrook Blvd Ste 300Clackamas, OR 97015-9353
Phone: (503) 233-5548
Fax: (503) 230-1009
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Audiologist (primary) | Taxonomy 231H00000X · Licence 31052 (OR) |
|---|---|
| Speech-Language Assistant | Taxonomy 2355S0801X · Licence 4382 (CA) |
Record details
| NPI number | 1205348166 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AUD |
| Sole proprietor | No |
| NPI enumerated | November 1, 2017 |
| Last updated in NPPES | September 14, 2022 |
| Certification date | September 14, 2022 |
Medicare enrollment
| Medicare specialty | QUALIFIED AUDIOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | The Oregon Clinic, Pc — 352 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Clackamas
-
Mrs. Heather Mae Burke, SLPA
13455 SE 97th Ave, Clackamas, OR 97015-8662 · (503) 675-4000