Organization
NORTHLAND HEARING CENTERS, INC.
Active
Other names
Iowa Hearing Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY LONGTAIN (PRESIDENT)
(503) 659-5115
Entity
Organization
Contact information
Practice address
2055 KIMBALL AVE, STE. 300, WATERLOO, IA 50702-5047
(319) 272-2500
(319) 272-2503
Mailing address
8800 SE SUNNYSIDE RD., STE. 300-N, CLACKAMAS, OR 97015-5703
(503) 659-5115
(503) 659-5968
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
—
—
237700000X
Hearing Instrument Specialist
Primary
67
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0209924
—
IA
Enumeration date
09/26/2005
Last updated
02/10/2012
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