1982984662 NPI number — HEARING ASSISTANCE TECHNOLOGY, INC.

Table of content: (NPI 1982984662)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982984662 NPI number — HEARING ASSISTANCE TECHNOLOGY, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEARING ASSISTANCE TECHNOLOGY, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982984662
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/16/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
475 I ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
INDEPENDENCE
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97351-1820
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
503-838-2838
Provider Business Mailing Address Fax Number:
503-838-6531

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
975 NW SPRUCE AVE STE 102
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CORVALLIS
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97330-2297
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-754-1377
Provider Business Practice Location Address Fax Number:
541-754-9192
Provider Enumeration Date:
08/25/2011

Additional Information

Authorized Official

Authorized Official Last Name:
KNOTT
Authorized Official First Name:
BRYCE
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF OPERATIONS
Authorized Official Telephone Number:
541-754-1377

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  20698 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QH0700X , with the licence number: 20698 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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