Organization
NORTHLAND HEARING CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY LONGTAIN (PRESIDENT)
(503) 659-5115
Entity
Organization
Contact information
Practice address
1567 NORTH EASTMAN ROAD, KINGSPORT, TN 37663
(423) 247-3731
Mailing address
8800 SE SUNNYSIDE RD., STE 210, CLACKAMAS, OR 97015-5738
(503) 659-5115
(503) 659-5887
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0093451
TN
237700000X
Hearing Instrument Specialist
0093451
TN
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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