Healthcare Provider Details

I. General information

NPI: 1962893446
Provider Name (Legal Business Name): HEARING HELPERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2015
Last Update Date: 02/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11919 NE GLISAN ST
PORTLAND OR
97220
US

IV. Provider business mailing address

11919 NE GLISAN ST
PORTLAND OR
97220
US

V. Phone/Fax

Practice location:
  • Phone: 503-408-0972
  • Fax: 503-445-1178
Mailing address:
  • Phone: 503-408-0972
  • Fax: 503-445-1178

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 NumberHAS-P-614565
License Number StateOR

VIII. Authorized Official

Name: MR. MAX WILLIAM CLARK
Title or Position: OWNER
Credential: BC-HIS
Phone: 503-408-0972