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Active NPI 1063623395 Individual Practitioner Male Practitioner

Myron D. Smith

Audiologist • Portland, OR

Professional Overview & Biography Verified Profile Summary

Myron Smith is a registered healthcare professional specializing in Audiologist in Portland, OR. Practice services are available at 1040 NW 22ND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1040 Nw 22nd Ave
Suite 460

Portland, OR 972103057

Telephone 5034138154
Fax 5034136944
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Audiologist in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 14.9 Yrs
Regional Practice Density
159 Specialists

Practicing in Portland, OR (329 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

State License OR 20867

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
248174 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1235340688

Doctor of Audiology, CCCA

NPI 1245240001

Doctor of Audiology

NPI 1437682150

Doctor of Audiology

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1040 NW 22ND AVE, SUITE 460, PORTLAND, OR 972103057 (Tel: 5034138154)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4722 SW 47TH AVE, PORTLAND, OR 972213014 (Tel: 5032936159)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MYRON SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Audiologist (License #20867 in OR)

🟢
Initial NPI Registration & Enumeration May 25, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1063623395
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

4722 Sw 47th Ave

Portland, OR 972213014

Phone: 5032936159

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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