Healthcare Provider Details

I. General information

NPI: 1457740854
Provider Name (Legal Business Name): NS HEARING NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2015
Last Update Date: 01/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3066 LANCASTER DR NE
SALEM OR
97305-1396
US

IV. Provider business mailing address

26222 RR 12
DRIPPING SPGS TX
78620-4903
US

V. Phone/Fax

Practice location:
  • Phone: 503-315-2055
  • Fax: 503-315-2057
Mailing address:
  • Phone: 512-858-0300
  • Fax: 512-858-2714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: RANDY SCHOENBORN
Title or Position: OWNER
Credential:
Phone: 512-858-0300