Miyake, Crystal

Miyake, Crystal is an individual health care provider with primary practice located at 3099 River Rd S Ste 150, Salem OR 97302-9754. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Miyake, Crystal can be contacted via phone (503) 485-2581.

Contact Information

Primary practice address
3099 River Rd S Ste 150 Salem OR 97302-9754
Fax: (503) 485-2564
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X LD00004248 Washington
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 022558 Oregon

Profile Details

NPI number 1295772770
LBN Legal business name Miyake, Crystal
Credentials MSCCCA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Mar 23rd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295772770 NPPES
Oregon MEDICAID 270845

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