Healthcare Provider Details

I. General information

NPI: 1811427115
Provider Name (Legal Business Name): ANDREA VINTERTUN HEARING INSTRUMENT S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANDREA ALBRECHT HEARING INSTRUMENT S

II. Dates (important events)

Enumeration Date: 06/19/2017
Last Update Date: 05/28/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10413 BEARDSLEE BLVD
BOTHELL WA
98011-3463
US

IV. Provider business mailing address

10413 BEARDSLEE BLVD
BOTHELL WA
98011-3463
US

V. Phone/Fax

Practice location:
  • Phone: 425-485-6403
  • Fax: 425-486-5037
Mailing address:
  • Phone: 425-485-6403
  • Fax: 425-486-5037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number60351808
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number60351808
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: