| NPI | 1124206867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER GUSTAFSON Owner 503-472-8850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: OR HAS-P 209627) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-02-05 |