Organization
EVERGREEN HEARING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER GUSTAFSON (OWNER)
(503) 472-8850
Entity
Organization
Contact information
Practice address
1024 NE BAKER ST, MCMINNVILLE, OR 97128-4932
(503) 472-8850
Mailing address
1024 NE BAKER ST, MCMINNVILLE, OR 97128-4932
(503) 472-8850
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAS-P 209627
OR
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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