Organization
NORTHLAND HEARING CENTER, INC
Active
Other names
Ascent Audiology and Hearing Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY LONGTAIN (PRESIDENT)
(503) 659-5115
Entity
Organization
Contact information
Practice address
2569 COWAN BLVD, FREDERICKSBURG, VA 22401-8440
(304) 731-5255
Mailing address
8800 SE SUNNYSIDE RD, 300, CLACKAMAS, OR 97015-5738
(503) 659-5115
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
2201001458
VA
Other
Enumeration date
07/21/2011
Last updated
07/21/2011
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