Healthcare Provider Details

I. General information

NPI: 1114232121
Provider Name (Legal Business Name): HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2010
Last Update Date: 08/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8019 NE 13TH AVE
VANCOUVER WA
98665-9604
US

IV. Provider business mailing address

8019 NE 13TH AVE
VANCOUVER WA
98665-9604
US

V. Phone/Fax

Practice location:
  • Phone: 360-573-8650
  • Fax: 360-573-4990
Mailing address:
  • Phone: 360-573-8650
  • Fax: 360-573-4990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: GREGG OLSEN
Title or Position: CEO
Credential:
Phone: 360-573-8650