Provider Demographics
NPI:1730488693
Name:CASCADE AUDIOLOGY AND HEARING AID CENTER PLLC
Entity Type:Organization
Organization Name:CASCADE AUDIOLOGY AND HEARING AID CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SHONIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:HANNAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-336-2178
Mailing Address - Street 1:111 S 13TH ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98274-4105
Mailing Address - Country:US
Mailing Address - Phone:360-336-2178
Mailing Address - Fax:360-336-1995
Practice Address - Street 1:118 S 12TH ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98274-4036
Practice Address - Country:US
Practice Address - Phone:360-336-2178
Practice Address - Fax:360-336-1995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603052627261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech