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Organization

NORTHLAND HEARING CENTERS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY LONGTAIN (PRESIDENT)
(503) 659-5115
Entity
Organization

Contact information

Practice address
701 N. STATE OF FRANKLIN ROAD, STE 5, JOHNSON CITY, TN 37604
(423) 928-9285
Mailing address
8800 SE SUNNYSIDE RD., STE 210, CLACKAMAS, OR 97015-5738
(503) 659-5115
(503) 659-5887

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2012-116705
TN
237700000X
Hearing Instrument Specialist
2012-116705
TN

Other

Enumeration date
08/15/2012
Last updated
08/15/2012
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