Healthcare Provider Details

I. General information

NPI: 1336223791
Provider Name (Legal Business Name): HEARING ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 08/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 E 10TH AVE SUITE 110
EUGENE OR
97401-3317
US

IV. Provider business mailing address

401 E 10TH AVE SUITE 110
EUGENE OR
97401-3317
US

V. Phone/Fax

Practice location:
  • Phone: 541-686-3505
  • Fax: 541-686-9067
Mailing address:
  • Phone: 541-686-3505
  • Fax: 541-686-9067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number20878
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number20094
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number20878
License Number StateOR
# 4
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHASP038758
License Number StateOR
# 5
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHASP812171
License Number StateOR
# 6
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number20094
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier051719
Identifier TypeMEDICAID
Identifier StateOR
Identifier Issuer
# 2
IdentifierJ1773
Identifier TypeOTHER
Identifier StateOR
Identifier IssuerPACIFICSOURCE
# 3
Identifier014706000
Identifier TypeOTHER
Identifier StateOR
Identifier IssuerREGENCE BC/BS
# 4
Identifier353946700
Identifier TypeOTHER
Identifier StateOR
Identifier IssuerUS DEPT OF LABOR
# 5
Identifier800519900
Identifier TypeOTHER
Identifier StateOR
Identifier IssuerPREFERRED CHOICE 65
# 6
Identifier700053
Identifier TypeMEDICAID
Identifier StateOR
Identifier Issuer

VIII. Authorized Official

Name: MS. GAIL H. LESLIE
Title or Position: OWNER, PRESIDENT
Credential: AU.D.
Phone: 541-686-3505