MEDICARE: DEAN GAINER

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	237700000X	Hearing Instrument Specialist	HA60305852	WA

General Provider Information

NPI Number	:	1467790790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEAN GAINER

Provider Business Mailing Address
First Line	:	10413 BEARDSLEE BLVD
Second Line	:
City	:	BOTHELL
State	:	WA
Zip	:	98011-3463
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1833 N 105TH ST STE 101
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98133-8973
Country	:	US
Telephone Number	:	206-985-8482
Fax Number	:	425-258-3701

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

Provider Enumeration Date	:	01/22/2013
Last Update Date	:	01/22/2013

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Directions to “ DEAN GAINER ” Practice Location

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