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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