NPI 1902579873 · live from the CMS NPI Registry
Amy Danielle Bottaro, AuD
Audiologist in Bend, OR. National Provider Identifier 1902579873, active.
NPI record
| NPI | 1902579873 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 2205 Nw Shevlin Park Rd, Bend, OR 97703 |
| Practice phone | 541-678-5698 |
| Enumerated | July 27, 2021 |
| Last updated | January 17, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 31000 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.