Provider Demographics
NPI:1689075087
Name:HEARING SOLUTIONS NORTHWEST, LLC.
Entity Type:Organization
Organization Name:HEARING SOLUTIONS NORTHWEST, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:G
Authorized Official - Last Name:MERKL
Authorized Official - Suffix:JR
Authorized Official - Credentials:HAS
Authorized Official - Phone:503-287-0055
Mailing Address - Street 1:1730 SW SKYLINE BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97221-2547
Mailing Address - Country:US
Mailing Address - Phone:503-287-0055
Mailing Address - Fax:971-255-1564
Practice Address - Street 1:1730 SW SKYLINE BLVD STE 110
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97221-2547
Practice Address - Country:US
Practice Address - Phone:503-287-0055
Practice Address - Fax:971-255-1564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-04
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORHAS-P-10129544237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty