Provider Demographics
NPI:1750894754
Name:MY HEARING CENTERS
Entity type:Organization
Organization Name:MY HEARING CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HEARING SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:JACOB
Authorized Official - Last Name:MCMINN
Authorized Official - Suffix:
Authorized Official - Credentials:HAS
Authorized Official - Phone:909-262-7027
Mailing Address - Street 1:302 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:THE DALLES
Mailing Address - State:OR
Mailing Address - Zip Code:97058-2208
Mailing Address - Country:US
Mailing Address - Phone:541-397-0188
Mailing Address - Fax:541-296-3300
Practice Address - Street 1:302 E 4TH ST
Practice Address - Street 2:
Practice Address - City:THE DALLES
Practice Address - State:OR
Practice Address - Zip Code:97058-2208
Practice Address - Country:US
Practice Address - Phone:541-397-0188
Practice Address - Fax:541-296-3300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-13
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10181198237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty