Provider Demographics
NPI:1750756938
Name:KORU HEARING, INC
Entity type:Organization
Organization Name:KORU HEARING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING INSTRUMENT SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:HUNTER
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:BBA, HIS
Authorized Official - Phone:361-450-1410
Mailing Address - Street 1:2230 W BURNSIDE ST STE B
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210-3727
Mailing Address - Country:US
Mailing Address - Phone:971-407-4100
Mailing Address - Fax:971-407-4103
Practice Address - Street 1:2230 W BURNSIDE ST STE B
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-3727
Practice Address - Country:US
Practice Address - Phone:971-407-4100
Practice Address - Fax:971-407-4103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-14
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
231H00000X, 261QH0700X
TX51485261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty