Individual
MRS. MEGAN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4130 SW 117TH AVE STE D, BEAVERTON, OR 97005-4632
(503) 591-7027
(503) 642-9435
Mailing address
6700 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3405
(800) 328-8602
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
—
—
237700000X
Hearing Instrument Specialist
Primary
HAS-P-10195072
OR
Other
Enumeration date
11/14/2018
Last updated
03/08/2019
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