Provider Demographics
NPI:1982078671
Name:TUALITY HEARING CENTER, LLC
Entity Type:Organization
Organization Name:TUALITY HEARING CENTER, LLC
Other - Org Name:TUALITY HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DONOVAN
Authorized Official - Middle Name:DOW
Authorized Official - Last Name:DAVISSON
Authorized Official - Suffix:SR
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:971-327-4294
Mailing Address - Street 1:1915 NW AMBERGLEN PKWY STE 400
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97006-6938
Mailing Address - Country:US
Mailing Address - Phone:971-327-4297
Mailing Address - Fax:971-327-4001
Practice Address - Street 1:1915 NW AMBERGLEN PKWY STE 400
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97006-6938
Practice Address - Country:US
Practice Address - Phone:971-327-4297
Practice Address - Fax:971-327-4001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-18
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORHAS P 10136694261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech