Healthcare Provider Details

I. General information

NPI: 1285546564
Provider Name (Legal Business Name): DR. KAYLA CHASE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 COUNTRY CLUB RD STE 200
EUGENE OR
97401-6046
US

IV. Provider business mailing address

32745 E DELANEY ST
EUGENE OR
97408-9265
US

V. Phone/Fax

Practice location:
  • Phone: 541-743-3209
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number31165
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: