| NPI | 1063050383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY L LONGTAIN Owner / Managing Member 503-799-2852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |