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
1401 SOUTH BERETANIA STREET, SUITE 330, HONOLULU, HI 96817-1872
(808) 536-5797
(808) 536-3237
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
W15256220-01
HI
237700000X
Hearing Instrument Specialist
W15256220-01
HI
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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