Healthcare Provider Details

I. General information

NPI: 1912037375
Provider Name (Legal Business Name): MR. SCOTT L AUSTIN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3856 CENTER ST NE
SALEM OR
97301-2905
US

IV. Provider business mailing address

3856 CENTER ST NE
SALEM OR
97301-2905
US

V. Phone/Fax

Practice location:
  • Phone: 503-589-9844
  • Fax: 541-666-4131
Mailing address:
  • Phone: 503-589-9844
  • Fax: 541-666-4131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHAS-P-410266472
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: