Organization
NORTHLAND HEARING CENTERS, INC.
Active
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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