Provider Demographics
NPI:1578608998
Name:DD HEARING, PS
Entity Type:Organization
Organization Name:DD HEARING, PS
Other - Org Name:SONUS CENTER FOR SOUND HEARING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATSY
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:RAGLAND
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:509-765-8403
Mailing Address - Street 1:827 E. COLONIAL AVENUE
Mailing Address - Street 2:SUITE A
Mailing Address - City:MOSES LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98837-4644
Mailing Address - Country:US
Mailing Address - Phone:509-765-8403
Mailing Address - Fax:509-765-3657
Practice Address - Street 1:505 S. DIVISION STREET
Practice Address - Street 2:
Practice Address - City:MOSES LAKE
Practice Address - State:WA
Practice Address - Zip Code:98837-1958
Practice Address - Country:US
Practice Address - Phone:509-765-8403
Practice Address - Fax:509-765-3657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAHA00000935332S00000X
WAHA00000707332S00000X
WAHA00000926332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9053208Medicaid