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NPI Code Detail

MEDICARE: NORTHLAND HEARING CENTERS, INC

MEDICARE: NORTHLAND HEARING CENTERS, INC
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
1332S00000XHearing Aid Equipment

General Provider Information

NPI Number : 1134677131
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHLAND HEARING CENTERS, INC
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 :
Provider Business Practice Location Address
First Line : 1358 CATASAUQUA RD UNIT 1
Second Line : SUITE 203
City : BETHLEHEM
State : PA
Zip : 18017-7402
Country : US
Telephone Number : 610-691-2722
Fax Number :
Authorized Official
Title or Position : SENIOR DIRECTOR OF RETAIL OPERATION
Name : MELONY WINCHESTER
Credential :
Telephone Number : 281-286-2999
Provider Enumeration Date : 09/19/2016
Last Update Date : 05/08/2017

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Directions to “NORTHLAND HEARING CENTERS, INC ” Practice Location

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