Organization
NORTHLAND HEARING CENTERS, INC.
Active
Other names
Audibel Hearing Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF LONGTAIN (PRESIDENT)
(503) 659-5115
Entity
Organization
Contact information
Practice address
320 W COLEMAN BLVD, UNIT P, MOUNT PLEASANT, SC 29464-3449
(843) 884-6320
(843) 884-3737
Mailing address
8800 SE SUNNYSIDE RD, SUITE 300-N, CLACKAMAS, OR 97015-5738
(503) 659-5115
(503) 659-5968
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
20021812
SC
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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