Healthcare Provider Details

I. General information

NPI: 1750894754
Provider Name (Legal Business Name): MY HEARING CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 E 4TH ST
THE DALLES OR
97058-2208
US

IV. Provider business mailing address

302 E 4TH ST
THE DALLES OR
97058-2208
US

V. Phone/Fax

Practice location:
  • Phone: 541-397-0188
  • Fax: 541-296-3300
Mailing address:
  • Phone: 541-397-0188
  • Fax: 541-296-3300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number10181198
License Number StateOR

VIII. Authorized Official

Name: DUSTIN JACOB MCMINN
Title or Position: DIRECTOR OF HEARING SERVICES
Credential: HAS
Phone: 909-262-7027