Organization
PROVIDENCE AUDIOLOGY
Active
Other names
Seattle Hearing and Balance Center
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA ELLIS AU.D., FAAA (OWNER)
(206) 320-5687
Entity
Organization
Contact information
Practice address
1600 E JEFFERSON ST, SUITE 202, SEATTLE, WA 98122-5698
(206) 320-5687
(206) 320-8145
Mailing address
1600 E JEFFERSON ST, SUITE 202, SEATTLE, WA 98122-5698
(206) 320-5687
(206) 320-8145
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LD00001067
WA
Other
Enumeration date
03/21/2007
Last updated
10/25/2010
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