| NPI | 1942552740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LONGTAIN President 503-659-5115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: HI W15256220-01) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: HI W15256220-01) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-04 |