CRYSTAL MIYAKE

SALEM, OR
NPI1295772770
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy231H00000X Audiologist
(Licence: OR  022558)
Additional Taxonomies231H00000X Audiologist
(Licence: WA  LD00004248)
Enumeration Date2006-06-01
Last Update Date2016-03-23
Business Address
-- CRYSTAL MIYAKE MSCCCA
3099 RIVER RD S STE 150
SALEM, OR 97302-9754
Phone number: 503-485-2581
Mailing Address
-- CRYSTAL MIYAKE MSCCCA
3099 RIVER RD S STE 150
SALEM, OR 97302-9754
Phone number: 503-485-2581