NPIMap

Organization Active NPI

Southern Oregon Audiology, Inc.

  • Audiologist
  • Medford, OR
National Provider Identifier
1215188065
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
SOUTHERN OREGON AUDIOLOGY, INC.
Practice address
45 Hawthorne St
Suite 3
Medford, OR 97504-7166
Phone
(541) 772-4484
Fax
(541) 772-4494
NPI assigned
Oct 9, 2008
Last updated
Oct 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Patricia Lynn Severson
Title
Owner
Phone
(541) 772-4484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X OR Primary

Addresses

Primary practice location

45 Hawthorne St
Suite 3
Medford, OR 97504-7166

Mailing address

45 Hawthorne St
Suite 3
Medford, OR 97504-7166
Phone (541) 772-4484

National Provider Directory

National Provider Directory

Locations

45 Hawthorne St
Ste 3
Medford, OR 97504
Phone (541) 772-4484

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1215188065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 HAWTHORNE ST",
            "address_2": "SUITE 3",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047166",
            "telephone_number": "541-772-4484",
            "fax_number": "541-772-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 HAWTHORNE ST",
            "address_2": "SUITE 3",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047166",
            "telephone_number": "541-772-4484",
            "fax_number": "541-772-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OREGON AUDIOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "SEVERSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-772-4484",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.