Healthcare Provider Details

I. General information

NPI: 1285912907
Provider Name (Legal Business Name): CENTRAL OREGON HEARING AID CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2011
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 NE GREENWOOD AVE
BEND OR
97701
US

IV. Provider business mailing address

404 NE GREENWOOD AVE
BEND OR
97701
US

V. Phone/Fax

Practice location:
  • Phone: 541-330-5503
  • Fax: 541-330-5462
Mailing address:
  • Phone: 541-330-5503
  • Fax: 541-330-5462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number78198794
License Number StateOR

VIII. Authorized Official

Name: ASA C FLANAGAN
Title or Position: OWNER/HEARING INSTRUMENT SPECIALIST
Credential:
Phone: 541-668-1119