Provider Demographics
NPI:1265683981
Name:COLUMBIA HEARING CENTER
Entity Type:Organization
Organization Name:COLUMBIA HEARING CENTER
Other - Org Name:COLUMBIA HEARING CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:WALTER
Authorized Official - Last Name:CASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-397-1960
Mailing Address - Street 1:369 COLUMBIA RIVER HWY.
Mailing Address - Street 2:
Mailing Address - City:ST. HELENS
Mailing Address - State:OR
Mailing Address - Zip Code:97051
Mailing Address - Country:US
Mailing Address - Phone:503-397-1960
Mailing Address - Fax:503-366-1542
Practice Address - Street 1:369 COLUMBIA RIVER HWY.
Practice Address - Street 2:
Practice Address - City:ST. HELENS
Practice Address - State:OR
Practice Address - Zip Code:97051
Practice Address - Country:US
Practice Address - Phone:503-397-1960
Practice Address - Fax:503-366-1542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-01
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORHASP904420237700000X
WA021602HA00000R51237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty