Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crystal Miyake, MSCCCA

Individual provider Audiologist · NPI 1295772770

Crystal Miyake, MSCCCA is a Qualified Audiologist in Salem, Oregon. Qualified in 2004, 22 years ago. Practices with The Vancouver Clinic Inc Ps, a 580-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
22
Licensed in
OR, WA
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

3099 River Rd S Ste 150
Salem, OR 97302-9754
Phone: (503) 485-2581
Fax: (503) 485-2564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 022558 (OR)
Audiologist Taxonomy 231H00000X · Licence LD00004248 (WA)

Record details

NPI number1295772770
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCCA
Sole proprietorNo
NPI enumeratedJune 1, 2006
Last updated in NPPESMarch 23, 2016
Mailing address3099 River Rd S, Ste 150, Salem, OR 97302-9754

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice The Vancouver Clinic Inc Ps — 580 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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