MEDICARE: MR. LOUIS A CHRISTENSEN BC-HIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237600000X	Audiologist-Hearing Aid Fitter		OR
2	237700000X	Hearing Instrument Specialist	HAS-P-022240	OR

General Provider Information

NPI Number	:	1053441394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LOUIS A CHRISTENSEN BC-HIS

Provider Business Mailing Address
First Line	:	8800 SE SUNNYSIDE RD STE 300N
Second Line	:
City	:	CLACKAMAS
State	:	OR
Zip	:	97015-5703
Country	:	US
Telephone Number	:	281-286-2999
Fax Number	:	512-607-4893

Provider Business Practice Location Address
First Line	:	3229 BROADWAY ST
Second Line	:	SUITE F
City	:	NORTH BEND
State	:	OR
Zip	:	97459-2203
Country	:	US
Telephone Number	:	541-756-8944
Fax Number	:	541-808-0967

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	01/15/2018

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Directions to “ MR. LOUIS A CHRISTENSEN BC-HIS” Practice Location

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