Organization
NORTHLAND HEARING CENTERS, INC.
Active
Other names
Ascent Audiology & Hearing Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY LONGTAIN (PRESIDENT)
(503) 659-5115
Entity
Organization
Contact information
Practice address
1320 OLD CHAIN BRIDGE RD., STE. 185, MCLEAN, VA 22101
(703) 942-8110
(703) 942-8042
Mailing address
8800 SE SUNNYSIDE RD., STE. 300-N, CLACKAMAS, OR 97015-5703
(503) 659-5115
(503) 659-5968
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
2101001335
VA
237600000X
Audiologist-Hearing Aid Fitter
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Other
Enumeration date
07/21/2011
Last updated
02/09/2012
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