# PENINSULA AUDIOLOGY & HEARING AIDS, P.S.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679773410
- **Authorized official:** SHANN RAND AU.D. (PRESIDENT)
- **Authorized official phone:** (253) 858-3277

## Contact information

- **Practice address:** 3212 50TH STREET CT NW STE 105, GIG HARBOR, WA 98335-8527
- **Practice address phone:** (253) 858-3277
- **Practice address fax:** (253) 858-6299
- **Mailing address:** 3212 50TH STREET CT NW STE 105, GIG HARBOR, WA 98335-8527
- **Mailing address phone:** (253) 858-3277
- **Mailing address fax:** (253) 858-6299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | LD00000965 | WA | Yes |

## Other

- **Enumeration date:** 07/19/2007
- **Last updated:** 07/19/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0157117 | WA STATE DEPT OF LABOR AN | WA |
| 01 | — | 5398207 | AETNA | WA |
| 05 | — | 7040496 | — | WA |
| 01 | — | CK5419 | RAILROAD MEDICARE | WA |
| 01 | — | RA5863 | REGENCE | WA |