Organization
NORTHLAND HEARING CENTERS, INC
Active
Other names
Willoughby Hearing Aid Centers
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISA EIFRIG RAUTH (DIRECTOR OF CREDENTIALING)
(952) 947-4983
Entity
Organization
Contact information
Practice address
1939 E BURNSIDE ST, PORTLAND, OR 97214-1535
(503) 233-6141
(503) 233-2889
Mailing address
6700 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3405
(612) 351-1529
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
332S00000X
Hearing Aid Equipment
—
—
Other
Enumeration date
06/14/2016
Last updated
01/08/2019
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