Healthcare Provider Details

I. General information

NPI: 1588737027
Provider Name (Legal Business Name): JRI CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 07/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S MERIDIAN
PUYALLUP WA
98371-5916
US

IV. Provider business mailing address

2310 MILDRED ST W #134
UNIVERSITY PLACE WA
98466-6036
US

V. Phone/Fax

Practice location:
  • Phone: 253-845-1400
  • Fax:
Mailing address:
  • Phone: 253-565-0954
  • Fax: 253-565-3300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number952
License Number StateWA

VIII. Authorized Official

Name: MR. JAMES DONALD FRANZEN JR.
Title or Position: PRESIDENT
Credential:
Phone: 253-565-0954