MRS. MEGAN ELLIS (NPI# 1710456132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710456132 |
| Entity Type | Individual |
| Full Name | MRS. MEGAN ELLIS |
| Practice Address |
4130 Sw 117th Ave Ste D Beaverton OR 97005-4632 |
| Mailing Address |
6700 Washington Ave S Eden Prairie MN 55344-3405 |
| Practice Telephone | 5035917027 |
| Practice Fax Number | 5036429435 |
| Mailing Telephone | 8003288602 |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2019-03-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 237600000X | Audiologist-Hearing Aid Fitter | Speech, Language and Hearing Service Providers | ||
| Y | 237700000X | Hearing Instrument Specialist | HAS-P-10195072 | OR | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15660 Sw Pacific Hwy Ste A5, Tigard, OR 972243556 | 5039686445 | 5039688968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215599931 | Megan Ellis | Doula | 2800 Todkill Trce, Edgewood, MD 21040-3429 | 2019-07-02 |
| 1407457658 | Megan Marie Kirnon Ellis | Counselor | 6000 J St, Sacramento, CA 95819-2694 | 2020-11-04 |
| 1497394514 | Megan Ellis | Massage Therapist | 2151 W Hayden Ave, Hayden, ID 83835-7414 | 2020-01-06 |
| 1871027987 | Megan Grace Ellis | Occupational Therapist | 16171 N Brinson St, Nampa, ID 83687-5509 | 2017-04-14 |
| 1720537053 | Megan Ellis | Developmental Therapist | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2016-09-28 |
| 1043686116 | Megan Ellis | Contractor | 545 N Main St, Clarendon, AR 72029-2017 | 2015-08-12 |
| 1962733725 | Megan A Ellis | Counselor | 30 Technology Dr, Rocky Mount, VA 24151-3008 | 2010-01-19 |
| 1023248242 | Megan Leigh Ellis | Physical Therapist | 20403 University Blvd Ste 100, Sugar Land, TX 77478-4977 | 2009-07-22 |
| Street Address |
4130 SW 117TH AVE STE D |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-4632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508109406 | Daniel C Bancroft | Audiologist-Hearing Aid Fitter | 4130 Sw 117th Ave Ste D, Beaverton, OR 97005-4632 | 2013-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831508720 | Joel Snair | Hearing Instrument Specialist | 4340 Sw 110th Ave, Beaverton, OR 97005-3014 | 2014-08-05 |
| 1053720979 | Jaimie King | Hearing Instrument Specialist | 1865 Nw 169th Pl Ste 204, Beaverton, OR 97006-7310 | 2014-08-05 |
| 1407474786 | Robert David King | Hearing Instrument Specialist | 1865 Nw 169th Pl Ste 204, Beaverton, OR 97006-7310 | 2020-07-13 |
| 1972055135 | Kimberly Newell | Hearing Instrument Specialist | 8625 Sw Cascade Ave, Suite 103, Beaverton, OR 97008-7121 | 2016-11-03 |
| 1164875886 | Jennifer Bagley | Hearing Instrument Specialist | 4510 Sw Hall Blvd, Beaverton, OR 97005-0504 | 2016-07-18 |
| 1053767723 | Angela D Snair | Hearing Instrument Specialist | 4340 Sw 110th Ave, Beaverton, OR 97005-3014 | 2016-05-11 |
| 1538529748 | Sage Hearing Solutions | Hearing Instrument Specialist | 1865 Nw 169th Pl Ste 204, Beaverton, OR 97006-7310 | 2016-03-01 |
| 1295193779 | William Beaver | Hearing Instrument Specialist | 8625 Sw Cascade Ave, Suite 103, Beaverton, OR 97008-7121 | 2016-01-29 |
| 1164802450 | Corina Sanford | Hearing Instrument Specialist | 4510 Sw Hall Blvd, Beaverton, OR 97005-0504 | 2015-06-02 |
| 1578972469 | Karl Brandsen | Hearing Instrument Specialist | 4340 Sw 110th Ave, Beaverton, OR 97005-3014 | 2014-08-05 |
| Find all providers in BEAVERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.