NPI | 1649528126 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY LONGTAIN President 503-659-5115 |
Organization Subpart ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: TN 0093451) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: TN 0093451) |
Enumeration Date | 2012-08-15 |
Last Update Date | 2012-08-15 |