IndividualActive
Bret Wonderlick, M.S. CCC-A
NPI 1982940169 · Audiologist · Portland, OR
Provider details
- NPI number
- 1982940169
- Entity type
- Individual
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Credential
- M.S. CCC-A
- Sex
- Male
- Sole proprietor
- Yes
- License
- 21957 (OR)
Practice location
1849 Nw Kearney St
Suite 200
Portland, OR 97209-1453
Phone: (971) 570-5387
Mailing address
2702 Ne Bryce St
Portland, OR 97212-1638
Registry dates
- Enumerated
- 2012-12-17
- Last updated
- 2013-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.