| NPI | 1386992865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LONGTAIN President 503-659-5115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TN 2012-116705) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: TN 2012-116705) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |