Organization
FAIRWOOD HEARING CARE, PLLP
Active
Other names
Fairwood Hearing Care
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ROLLA RENNE (AUDIOLOGIST/OWNER)
(206) 200-4455
Entity
Organization
Contact information
Practice address
16721 SE 162ND ST, RENTON, WA 98058-4229
(206) 200-4455
(844) 791-6253
Mailing address
16721 SE 162ND ST, RENTON, WA 98058-4229
(206) 200-4455
(844) 791-6253
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114974177
—
WA
Enumeration date
03/24/2021
Last updated
03/24/2021
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