KATHLEEN STACIE THEILACKER, AUD

NPI: 1205348166 · Individual · Active

Primary Specialty

Audiologist

Practice Location

9280 SE SUNNYBROOK BLVD STE 300
CLACKAMAS, OR 97015-9353 Map ↗
Phone: 503-233-5548
Fax: 503-230-1009

All Specialties & Licenses

  • Audiologist Primary (license: 31052, OR)
  • Speech-Language Assistant — Speech-Language Assistant (license: 4382, CA)

NPI Registration

Enumerated: 2017-11-01

Last CMS Update: 2022-09-14