Provider Demographics
NPI:1447015946
Name:NORTHWEST HEARING CONSULTANTS
Entity type:Organization
Organization Name:NORTHWEST HEARING CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWN ER/DISPENSER
Authorized Official - Prefix:MS
Authorized Official - First Name:LESLAE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:BREWER
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:509-386-4082
Mailing Address - Street 1:725 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MILTON FREEWATER
Mailing Address - State:OR
Mailing Address - Zip Code:97862-5200
Mailing Address - Country:US
Mailing Address - Phone:509-386-4082
Mailing Address - Fax:877-592-1443
Practice Address - Street 1:725 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MILTON FREEWATER
Practice Address - State:OR
Practice Address - Zip Code:97862-5200
Practice Address - Country:US
Practice Address - Phone:509-386-4082
Practice Address - Fax:877-592-1443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech