Provider Demographics
NPI:1326203209
Name:SOUND HEARING
Entity Type:Organization
Organization Name:SOUND HEARING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:GAYDEN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:360-733-2200
Mailing Address - Street 1:3084 NORTHWEST AVE
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1607
Mailing Address - Country:US
Mailing Address - Phone:360-733-2200
Mailing Address - Fax:360-733-2826
Practice Address - Street 1:3084 NORTHWEST AVE
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1607
Practice Address - Country:US
Practice Address - Phone:360-733-2200
Practice Address - Fax:360-733-2826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-21
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA029579332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA91903103Medicaid