Healthcare Provider Details
I. General information
NPI: 1104743285
Provider Name (Legal Business Name): CONCIERGE AUDIOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4780 VILLAGE PLAZA LOOP STE 110
EUGENE OR
97401-6624
US
IV. Provider business mailing address
5441 S MACADAM AVE STE N
PORTLAND OR
97239-3822
US
V. Phone/Fax
- Phone: 541-233-2425
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
AKMARAL
ARMAN
Title or Position: OWNER
Credential: AUD
Phone: 347-260-5510