Healthcare Provider Details
I. General information
NPI: 1841503166
Provider Name (Legal Business Name): APRIL E. TEEHAN AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/15/2010
Last Update Date: 04/13/2022
Certification Date: 04/13/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2650 NE COURTNEY DR
BEND OR
97701-7636
US
IV. Provider business mailing address
2650 NE COURTNEY DR
BEND OR
97701-7636
US
V. Phone/Fax
- Phone: 503-721-1434
- Fax:
- Phone: 503-721-1434
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | 23346 |
| License Number State | OR |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | 23346 |
| License Number State | OR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: