Individual
MS. JEANA FOSTER ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA-CCC-A
Contact information
Practice address
45 HAWTHORNE ST STE 3, MEDFORD, OR 97504-7166
(541) 772-4484
(541) 772-4494
Mailing address
45 HAWTHORNE ST STE 3, MEDFORD, OR 97504-7166
(541) 772-4484
(541) 772-4494
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
23299
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23299
BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY & AUDIOLOGY
OR
Enumeration date
11/07/2010
Last updated
11/07/2010
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