Marshall Albert Canizalez, AU.D
NPI 1376205278ActiveIndividual· Audiologist· Gresham, OR
Audiologist (AU.D) with Kaiser Foundation Health Plan of the Northwest, practicing in Gresham, Oregon. Enrolled in Medicare as practitioner - qualified audiologist and practitioner - qualified audiologist.
Overview
| NPI | 1376205278 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AU.D |
| Sole proprietor | No |
| NPI issued | Oct 7, 2021 |
| Last updated in NPPES | Dec 29, 2022 |
| Certified by provider | Dec 29, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | 31054 | OR |
| Audiologist | 231H00000X | 147001852 | IL |
| Audiologist-Hearing Aid Fitter | 237600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (OR); Practitioner - Qualified Audiologist (WA) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Qualified Audiologist |
Medical group
- Kaiser Foundation Health Plan of the NorthwestSalem, OR · 1,807 clinicians
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