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Contact Information

JEANA F ANDERSON, MA-CCC-A
45 HAWTHORNE ST STE 3
MEDFORD, OR97504-7166
 Phone: 541-772-4484
 Fax: 541-772-4494
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Audiologist-Hearing Aid Fitter

237600000X
Indicates primary specialty

NPI Profile & details for JEANA F ANDERSON · (Female)

NPI Number 1447551452
Status Active
Credentials MA-CCC-A
Entity Individual
Enumeration date 11/07/2010
Last updated 11/07/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 23299
  • OR Other 23299 BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY & AUDIOLOGY
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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