Provider Demographics
NPI:1982141768
Name:HERMISTON HEARING AID
Entity Type:Organization
Organization Name:HERMISTON HEARING AID
Other - Org Name:SOUND ADVANTAGE HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-567-4063
Mailing Address - Street 1:405 N 1ST ST STE 107
Mailing Address - Street 2:
Mailing Address - City:HERMISTON
Mailing Address - State:OR
Mailing Address - Zip Code:97838-1843
Mailing Address - Country:US
Mailing Address - Phone:541-567-4063
Mailing Address - Fax:541-289-5064
Practice Address - Street 1:405 N 1ST ST STE 107
Practice Address - Street 2:
Practice Address - City:HERMISTON
Practice Address - State:OR
Practice Address - Zip Code:97838-1843
Practice Address - Country:US
Practice Address - Phone:541-567-4063
Practice Address - Fax:541-289-5064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-31
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORHAS-P-10170900332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment