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
Phone: (503) 485-2581
Fax: (503) 485-2564
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295772770 | NPPES |
Oregon | MEDICAID | 270845 |
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