Healthcare Provider Details

I. General information

NPI: 1568632594
Provider Name (Legal Business Name): HEARING HEALTHCARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2008
Last Update Date: 07/02/2020
Certification Date: 07/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 ENSIGN RD NE STE M1
OLYMPIA WA
98506-5065
US

IV. Provider business mailing address

3525 ENSIGN RD NE STE M1
OLYMPIA WA
98506-5065
US

V. Phone/Fax

Practice location:
  • Phone: 360-491-9733
  • Fax: 360-493-1943
Mailing address:
  • Phone: 360-491-9733
  • Fax: 360-493-1943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberLD00001057
License Number StateWA

VIII. Authorized Official

Name: MR. TOM A. PUTAANSUU
Title or Position: CLINICAL AUDIOLOGIST
Credential: M.ED.
Phone: 360-491-9733