Provider Demographics
NPI:1417140336
Name:CENTRAL OREGON HEARING AIDS LLC
Entity Type:Organization
Organization Name:CENTRAL OREGON HEARING AIDS LLC
Other - Org Name:ABSOLUTELY BETTER HEARING CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:R
Authorized Official - Last Name:DEARDORFF
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:541-382-2777
Mailing Address - Street 1:447 NE GREENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701
Mailing Address - Country:US
Mailing Address - Phone:541-382-2777
Mailing Address - Fax:541-382-2722
Practice Address - Street 1:447 NE GREENWOOD AVE
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701
Practice Address - Country:US
Practice Address - Phone:541-382-2777
Practice Address - Fax:541-382-2722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORHAS P 784654237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty