Marshall Albert Canizalez, AUD
Marshall Albert Canizalez, AUD is a Qualified Audiologist in Gresham, Oregon. Qualified in 2021, 5 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Oregon.
- Years since qualifying
- 5
- Licensed in
- IL, OR
- In the registry since
- 2021
- Specialties on file
- 3
What do these letters mean?
- AUD — Doctor of Audiology
- A hearing specialist who tests hearing and fits hearing aids.
Practice location Address checks out
24076 SE Stark St Ste 230Gresham, OR 97030-3385
Phone: (503) 488-2600
Fax: (503) 465-5468
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1111 Ne 99th Ave Ste 101, Portland, OR 97220-9442 — (503) 488-2626
Specialties & licences
| Audiologist (primary) | Taxonomy 231H00000X · Licence 31054 (OR) |
|---|---|
| Audiologist | Taxonomy 231H00000X · Licence 147001852 (IL) |
| Audiologist-Hearing Aid Fitter | Taxonomy 237600000X |
Record details
| NPI number | 1376205278 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | AUD |
| Sole proprietor | No |
| NPI enumerated | October 7, 2021 |
| Last updated in NPPES | December 29, 2022 |
| Certification date | December 29, 2022 |
| Mailing address | 847 Ne 19th Ave Ste 300, Portland, OR 97232-2686 |
Medicare enrollment
| Medicare specialty | QUALIFIED AUDIOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Gresham
-
Audiology and Hearing Aid Center of Gresham
752 NE Burnside St, Gresham, OR 97030 · (503) 669-7061
-
Lottie Renee Rotterman, AUD
24076 SE Stark St Ste 230, Gresham, OR 97030-3373 · (503) 465-5461