IndividualActive
David Lilly, PH.D.
NPI 1710141262 · Audiologist · Portland, OR
Provider details
- NPI number
- 1710141262
- Entity type
- Individual
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 20574 (OR)
Mailing address
685 Nw Melinda Ave
Portland, OR 97210-3126
Registry dates
- Enumerated
- 2008-07-14
- Last updated
- 2008-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.