Healthcare Provider Details

I. General information

NPI: 1457496226
Provider Name (Legal Business Name): EUGENE HEARING & SPEECH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 12/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 W 12TH AVE
EUGENE OR
97402-3705
US

IV. Provider business mailing address

1500 W 12TH AVE
EUGENE OR
97402-3705
US

V. Phone/Fax

Practice location:
  • Phone: 541-485-8521
  • Fax: 541-485-6159
Mailing address:
  • Phone: 541-485-8521
  • Fax: 541-485-6159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DORIS G TOWERY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 541-485-8521