Provider Demographics
NPI:1033319876
Name:OLYMPIC HEARING CENTER PC
Entity Type:Organization
Organization Name:OLYMPIC HEARING CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:C
Authorized Official - Last Name:MILLER II
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:360-681-7500
Mailing Address - Street 1:500 W FIR ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:SEQUIM
Mailing Address - State:WA
Mailing Address - Zip Code:98382-3201
Mailing Address - Country:US
Mailing Address - Phone:360-681-7500
Mailing Address - Fax:360-681-7717
Practice Address - Street 1:500 W FIR ST
Practice Address - Street 2:SUITE A
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382-3201
Practice Address - Country:US
Practice Address - Phone:360-681-7500
Practice Address - Fax:360-681-7717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALD00003735231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAI18531Medicare UPIN