Provider Demographics
NPI:1346677259
Name:PEGGY S. LEE
Entity Type:Organization
Organization Name:PEGGY S. LEE
Other - Org Name:PEAK HEARING SYSTEMS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:HEARING INST SPEC
Authorized Official - Phone:541-908-2466
Mailing Address - Street 1:33608 SPRINGER RD
Mailing Address - Street 2:
Mailing Address - City:PHILOMATH
Mailing Address - State:OR
Mailing Address - Zip Code:97370
Mailing Address - Country:US
Mailing Address - Phone:541-908-2466
Mailing Address - Fax:541-451-4902
Practice Address - Street 1:33608 SPRINGER RD
Practice Address - Street 2:
Practice Address - City:PHILOMATH
Practice Address - State:OR
Practice Address - Zip Code:97370-9718
Practice Address - Country:US
Practice Address - Phone:541-451-1733
Practice Address - Fax:541-451-4902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-09
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORHASP522132332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR1303173133OtherNPI