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
11800 SE 82ND AVENUE, HAPPY VALLEY, OR 97086
(503) 659-2518
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
—
—
237700000X
Hearing Instrument Specialist
—
—
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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