Healthcare Provider Details

I. General information

NPI: 1790447852
Provider Name (Legal Business Name): HEAR 360 NOW INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2021
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

816 BELTLINE RD
SPRINGFIELD OR
97477-1091
US

IV. Provider business mailing address

816 BELTLINE RD
SPRINGFIELD OR
97477-1091
US

V. Phone/Fax

Practice location:
  • Phone: 541-746-7671
  • Fax: 541-746-2625
Mailing address:
  • Phone: 541-746-7671
  • Fax: 541-746-2625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN KENNETH ROELOFS
Title or Position: PRESIDENT/CLINICAL DIRECTOR
Credential: AU.D.
Phone: 541-746-7671