Organization
WEST COAST HEARING CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK H SCOONES AU.D. (DOCTOR OF AUDIOLOGY PRESIDENT)
(360) 533-0633
Entity
Organization
Contact information
Practice address
303 W 1ST ST, ABERDEEN, WA 98520-6110
(360) 533-0633
(360) 533-2541
Mailing address
303 W 1ST ST, ABERDEEN, WA 98520-6110
(360) 533-0633
(360) 533-2541
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
951
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2100250 1100565
COMMUNITY HEALTH PLANWA
WA
01
—
65266
WA DEPT OF L & I
WA
05
—
7078355
—
WA
05
—
9042599
—
WA
01
—
96368 48014
HEARPO
WA
Enumeration date
02/01/2007
Last updated
05/30/2014
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