| NPI | 1700377108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL LEE GLASER Owner 541-752-2042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist |
| Additional Taxonomies | 231HA2500X Audiologist, Assistive Technology Supplier |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |