Organization
NORTHLAND HEARING CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY LONGTAIN (PRESIDENT)
(503) 659-5115
Entity
Organization
Contact information
Practice address
820 E. MATTHEWS, SUITE A, JONESBORO, AR 72401-3081
(870) 268-1488
(870) 268-1613
Mailing address
8800 SE SUNNYSIDE RD., STE 300-N, CLACKAMAS, OR 97015-5738
(503) 659-5115
(503) 659-5887
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000000002746
AR
237700000X
Hearing Instrument Specialist
000000002746
AR
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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