Organization
PENINSULA AUDIOLOGY & HEARING AIDS, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANN RAND AU.D. (PRESIDENT)
(253) 858-3277
Entity
Organization
Contact information
Practice address
3212 50TH STREET CT NW STE 105, GIG HARBOR, WA 98335-8527
(253) 858-3277
(253) 858-6299
Mailing address
3212 50TH STREET CT NW STE 105, GIG HARBOR, WA 98335-8527
(253) 858-3277
(253) 858-6299
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD00000965
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0157117
WA STATE DEPT OF LABOR AN
WA
01
—
5398207
AETNA
WA
05
—
7040496
—
WA
01
—
CK5419
RAILROAD MEDICARE
WA
01
—
RA5863
REGENCE
WA
Enumeration date
07/19/2007
Last updated
07/19/2007
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