Organization
LUNA HEALTHCARE LLC
Active
Other names
Luna Family Hearing
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R LUNA (OWNER)
(425) 358-0956
Entity
Organization
Contact information
Practice address
2100 NE BROADWAY ST, STE 305, PORTLAND, OR 97232-1569
(503) 236-3368
(503) 236-2877
Mailing address
PO BOX 350, MAPLE VALLEY, WA 98038-0350
(425) 358-0956
(877) 481-6931
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
—
—
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
—
237700000X
Hearing Instrument Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500663828
—
OR
Enumeration date
10/20/2010
Last updated
08/01/2016
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