Provider Demographics
NPI:1427429034
Name:PIERCE, NADIA A (AUD)
Entity type:Individual
Prefix:DR
First Name:NADIA
Middle Name:A
Last Name:PIERCE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:NADIA
Other - Middle Name:
Other - Last Name:CHILKOWICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:3181 SW SAM JACKSON PARK RD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-3011
Mailing Address - Country:US
Mailing Address - Phone:503-494-7954
Mailing Address - Fax:503-494-5656
Practice Address - Street 1:3181 SW SAM JACKSON PARK RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3011
Practice Address - Country:US
Practice Address - Phone:503-494-7954
Practice Address - Fax:503-494-5656
Is Sole Proprietor?:No
Enumeration Date:2015-10-08
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR030839231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist