Provider Demographics
NPI:1568883049
Name:TRILOGY FAMILY HEARING, LLC
Entity Type:Organization
Organization Name:TRILOGY FAMILY HEARING, LLC
Other - Org Name:ALBANY HEARING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-949-4741
Mailing Address - Street 1:702 CASTLE PINES DR N
Mailing Address - Street 2:
Mailing Address - City:KEIZER
Mailing Address - State:OR
Mailing Address - Zip Code:97303-7480
Mailing Address - Country:US
Mailing Address - Phone:503-949-4741
Mailing Address - Fax:971-600-3467
Practice Address - Street 1:1610 9TH AVE SE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97322-4871
Practice Address - Country:US
Practice Address - Phone:541-928-0922
Practice Address - Fax:541-981-2116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-30
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORHAS-P-428251237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty