Healthcare Provider Details

I. General information

NPI: 1891958807
Provider Name (Legal Business Name): MELIA C BIEDSCHEID M.A., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2008
Last Update Date: 07/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2225 NW STEWART PKWY STE 100
ROSEBURG OR
97470-1650
US

IV. Provider business mailing address

5000 CHESHIRE LN N
PLYMOUTH MN
55446-3706
US

V. Phone/Fax

Practice location:
  • Phone: 541-673-5206
  • Fax: 541-464-0530
Mailing address:
  • Phone: 888-333-9152
  • Fax: 763-268-4240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number12039
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: