Healthcare Provider Details

I. General information

NPI: 1841659711
Provider Name (Legal Business Name): MRS. DANA MCREAVY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. DANA EIGHMIE-ALBON

II. Dates (important events)

Enumeration Date: 02/19/2016
Last Update Date: 02/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 EVERETT RD EXT
ALBANY NY
12205-3357
US

IV. Provider business mailing address

8800 SE SUNNYSIDE RD STE 300N
CLACKAMAS OR
97015-5703
US

V. Phone/Fax

Practice location:
  • Phone: 518-435-1400
  • Fax: 503-659-5968
Mailing address:
  • Phone: 281-286-2999
  • Fax: 512-607-4893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number14000043149
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: