Organization
MT. HOOD HEARING AID CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VLADIMIR ANTONIO GUTIERREZ HEARING SPECIALIST (PRESIDENT / HEARING AID DISPENSER)
(503) 669-8070
Entity
Organization
Contact information
Practice address
4105 SE DIVISION ST, PORTLAND, OR 97202-1646
(503) 669-8070
(503) 236-3513
Mailing address
PO BOX 16862, PORTLAND, OR 97292-0862
(503) 669-8070
(503) 236-3513
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
0310216371
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233180
—
OR
Enumeration date
11/16/2005
Last updated
08/25/2010
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