Individual
MR. JEFF J. GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
H.A.S.
Contact information
Practice address
1217 N COAST HWY STE D, NEWPORT, OR 97365-2499
(541) 265-6273
Mailing address
1217 N COAST HWY STE D, NEWPORT, OR 97365-2499
(541) 265-6273
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
404279
OR
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022742
—
OR
05
—
275249
—
OR
Enumeration date
01/17/2007
Last updated
07/08/2009
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