Provider Demographics
NPI:1609116243
Name:VRANAS, VENN (LICENSED HEARING AID)
Entity Type:Individual
Prefix:
First Name:VENN
Middle Name:
Last Name:VRANAS
Suffix:
Gender:M
Credentials:LICENSED HEARING AID
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1498 E MAIN ST STE 108
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:OR
Mailing Address - Zip Code:97424-2204
Mailing Address - Country:US
Mailing Address - Phone:541-942-8444
Mailing Address - Fax:
Practice Address - Street 1:1498 E MAIN ST STE 108
Practice Address - Street 2:
Practice Address - City:COTTAGE GROVE
Practice Address - State:OR
Practice Address - Zip Code:97424-2204
Practice Address - Country:US
Practice Address - Phone:541-942-8444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-19
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR510970174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist