Healthcare Provider Details

I. General information

NPI: 1003851783
Provider Name (Legal Business Name): SOUNDPOINT AUDIOLOGY & HEARING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 10/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8800 SE SUNNYSIDE RD STE 300-N
CLACKAMAS OR
97015-5738
US

IV. Provider business mailing address

8800 SE SUNNYSIDE RD STE 300-N
CLACKAMAS OR
97015-5738
US

V. Phone/Fax

Practice location:
  • Phone: 503-659-5115
  • Fax: 503-659-5968
Mailing address:
  • Phone: 763-559-1422
  • Fax: 763-559-1424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES R PICCOLO
Title or Position: PRESIDENT
Credential:
Phone: 503-659-5115