Provider Demographics
NPI:1356400279
Name:MCEACHERN, LE'ANNE (AUD)
Entity type:Individual
Prefix:
First Name:LE'ANNE
Middle Name:
Last Name:MCEACHERN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1217 N COAST HWY STE D
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97365-2499
Mailing Address - Country:US
Mailing Address - Phone:541-265-6273
Mailing Address - Fax:541-265-2996
Practice Address - Street 1:1217 N COAST HWY STE D
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:OR
Practice Address - Zip Code:97365-2499
Practice Address - Country:US
Practice Address - Phone:541-265-6273
Practice Address - Fax:541-265-2996
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR20391231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR263095Medicaid
133470Medicare ID - Type Unspecified