Organization
SANDIA MEDICAL INSTRUMENTS
Active
Parent organization
NORTHLAND HEARING CETNER, INC.
Other names
Sandia Hearing Aids
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHLAND HEARING CETNER, INC.
Authorized official
MR. JEFF LONGTAIN (PRESIDENT)
(503) 257-6800
Entity
Organization
Contact information
Practice address
3301 MENAUL BLVD NE, SUITE 26, ALBUQUERQUE, NM 87107-1852
(505) 889-9100
(505) 888-0363
Mailing address
10570 SE WASHINGTON ST, STE 210, PORTLAND, OR 97216-2846
(503) 257-6800
(866) 448-6830
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
330
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T9008
—
NM
Enumeration date
01/03/2007
Last updated
10/21/2010
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