Provider Demographics
NPI:1780129130
Name:SMART STEP HEARING INC.
Entity type:Organization
Organization Name:SMART STEP HEARING INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEARING AID SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:DARIN
Authorized Official - Middle Name:T
Authorized Official - Last Name:SCHEURER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-208-4608
Mailing Address - Street 1:6723 SW 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-2001
Mailing Address - Country:US
Mailing Address - Phone:503-208-4608
Mailing Address - Fax:503-245-5958
Practice Address - Street 1:6723 SW 12TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-2001
Practice Address - Country:US
Practice Address - Phone:503-750-9724
Practice Address - Fax:503-245-5958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-21
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500626907Medicaid