Organization
CENTRAL OREGON AUDIOLOGY AND HEARING AID CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE VAN KESSEL M.A. CCC-A (PRESIDENT)
(541) 389-6669
Entity
Organization
Contact information
Practice address
301 NE FRANKLIN AVE, BEND, OR 97701-4917
(541) 389-6669
(541) 389-8865
Mailing address
301 NE FRANKLIN AVE, BEND, OR 97701-4917
(541) 389-6669
(541) 389-8865
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
20957
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278496
—
OR
Enumeration date
07/30/2006
Last updated
07/21/2022
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