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
428 BATTLE ST W, TALLADEGA, AL 35160-2433
(256) 362-7716
Mailing address
8800 SE SUNNYSIDE RD, STE. 300-N, CLACKAMAS, OR 97015-5738
(503) 659-5115
(503) 659-5968
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
—
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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