# EAST CASCADE AUDIOLOGY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northwest Audiology and Hearing Aid Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497393235
- **Authorized official:** JENCI RANDALL AU.D. (OWNER/AUDIOLOGIST)
- **Authorized official phone:** (419) 234-6629

## Contact information

- **Practice address:** 601 N MAIN ST STE 1, ELLENSBURG, WA 98926-6305
- **Practice address phone:** (509) 962-9575
- **Mailing address:** PO BOX 880, CLE ELUM, WA 98922-0880
- **Mailing address phone:** (419) 234-6629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | NULL | Yes |
| 231H00000X | Audiologist | — | — | Yes |

## Other

- **Enumeration date:** 12/11/2019
- **Last updated:** 12/11/2019
