Amanda Meyers, AU.D.
Individual provider Active NPI Audiologist · Eagle Point, OR
NPI 1669779096 · NPPES record last updated Apr 7, 2025
Key facts
- NPI
- 1669779096
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 30804 (OR)
- Practice address
- 236 Loto St Unit 137
Eagle Point, OR 97524-0819 - Phone
- (619) 752-4457
- NPI assigned
- Feb 21, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 718 | CO | MD | Audiologist |
| 30804 | OR | MD | Audiologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 718 | CO | |
| Audiologist | 231H00000X | 30804 | OR | Yes |
Addresses
Primary practice location
236 Loto St Unit 137
Eagle Point, OR 97524-0819
Mailing address
236 Loto St Unit 137
Eagle Point, OR 97524-0819
Phone (619) 752-4457
Other providers in Eagle Point, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.