Organization
BEARHEART THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC VIANELLE M.S., CCC-SLP (OWNER)
(360) 821-3820
Entity
Organization
Contact information
Practice address
4611 NE 118TH ST, VANCOUVER, WA 98686-5994
(916) 267-7262
(360) 925-3367
Mailing address
4611 NE 118TH ST, VANCOUVER, WA 98686-5994
(916) 267-7262
(360) 925-3367
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487977435
—
CA
Enumeration date
10/10/2019
Last updated
10/10/2019
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