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Organization

EASTERN OREGON AUDIOLOGY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBIN MONIQUE MAXON M.S. CCC-A (AUDIOLOGIST)
(541) 524-0453
Entity
Organization

Contact information

Practice address
1832 MAIN ST, BAKER CITY, OR 97814-3449
(541) 524-0453
Mailing address
1832 MAIN ST, BAKER CITY, OR 97814-3449
(541) 524-0453

Taxonomy

Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
21908
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
158836
OR
Enumeration date
04/07/2008
Last updated
04/07/2008
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