Organization
NORTHLAND HEARING CENTERS, INC.
Active
Other names
Ascent Audiology & Hearing Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY LONGTAIN (PRESIDENT)
(503) 659-5115
Entity
Organization
Contact information
Practice address
11010 HIGHWAY 49, STE. 6, GULFPORT, MS 39503
(228) 832-5353
(228) 832-5305
Mailing address
8800 SE SUNNYSIDE RD., STE. 300-N, CLACKAMAS, OR 97015-5703
(503) 659-5115
(503) 659-5968
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
MS
237600000X
Audiologist-Hearing Aid Fitter
—
—
Other
Enumeration date
08/17/2010
Last updated
02/09/2012
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