Provider Demographics
NPI:1033296108
Name:HEARING ASSOCIATES, INC.
Entity Type:Organization
Organization Name:HEARING ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:H
Authorized Official - Last Name:LESLIE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:541-686-3505
Mailing Address - Street 1:401 E 10TH AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-3317
Mailing Address - Country:US
Mailing Address - Phone:541-686-3505
Mailing Address - Fax:541-686-9067
Practice Address - Street 1:1525 12TH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:FLORENCE
Practice Address - State:OR
Practice Address - Zip Code:97439-9497
Practice Address - Country:US
Practice Address - Phone:541-997-7617
Practice Address - Fax:541-686-9067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR20094231H00000X, 237600000X
OR20878231H00000X, 237600000X
ORHASP038758237700000X
ORHASP812171237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Not Answered237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
Not Answered237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR051719Medicaid
OR700053Medicaid
ORJ1773OtherPACIFICSOURCE
ORJ1773OtherPACIFICSOURCE
OR700053Medicaid
OR051719Medicaid
OR700053Medicaid