Individual
MRS. CAROL DEANE BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A
Contact information
Practice address
1367 W HARVARD AVE, ROSEBURG, OR 97470-2838
(541) 672-8868
(541) 672-1142
Mailing address
1367 W HARVARD AVE, ROSEBURG, OR 97471-2838
(541) 672-8868
(541) 672-1142
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
20315
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228320
—
OR
Enumeration date
01/31/2007
Last updated
07/15/2008
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