Provider Demographics
NPI:1285948398
Name:AUGUR, ROBERT J JR
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:J
Last Name:AUGUR
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 CHESHIRE PKWY N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55446-4103
Mailing Address - Country:US
Mailing Address - Phone:763-268-4332
Mailing Address - Fax:763-268-4017
Practice Address - Street 1:11942 NE GLISAN ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97220-2143
Practice Address - Country:US
Practice Address - Phone:503-252-3238
Practice Address - Fax:503-253-8654
Is Sole Proprietor?:No
Enumeration Date:2010-07-30
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORHAS-T-10136830237700000X
ORHAS-P-10136935-OR237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist