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Organization
NORTHLAND HEARING CENTERS, INC.
Active
Organization
NORTHLAND HEARING CENTERS, INC.
Active
Other names
Audibel Hearing Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF LONGTAIN (PRESIDENT)
(503) 659-5115
Entity
Organization
Contact information
Practice address
320 W COLEMAN BLVD, UNIT P, MOUNT PLEASANT, SC 29464-3449
(843) 884-6320
(843) 884-3737
Mailing address
8800 SE SUNNYSIDE RD, SUITE 300-N, CLACKAMAS, OR 97015-5738
(503) 659-5115
(503) 659-5968
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
20021812
SC
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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