OREGON HEARING AND SPEECH CENTER (NPI# 1710157276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710157276 |
| Entity Type | Organization |
| Organization Name | OREGON HEARING AND SPEECH CENTER |
| Practice Address |
735 Se Mount Hood Hwy Gresham OR 97080-9280 |
| Mailing Address |
735 Se Mount Hood Hwy Po Box 623 Gresham OR 97080-9280 |
| Practice Telephone | 5034928000 |
| Practice Fax Number | 5034928444 |
| Mailing Telephone | 5034928000 |
| Mailing Fax Number | 5034928444 |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-04-28 |
| Authorized Official Name | JOHN WILLIAM DILLOW (OWNER) |
| Authorized Official Telephone | 5034928000 |
| Authorized Official Credential | BA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 237600000X | Audiologist-Hearing Aid Fitter | Speech, Language and Hearing Service Providers | ||
| N | 237700000X | Hearing Instrument Specialist | Speech, Language and Hearing Service Providers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 028074 | 05 |
| Street Address |
735 SE MOUNT HOOD HWY |
| City | GRESHAM |
| State | OR |
| Zip Code | 97080-9280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700834819 | John William Dillow | Hearing Instrument Specialist | 735 Se Mount Hood Hwy, Gresham, OR 97080-9156 | 2006-05-04 |
| 1891935193 | Leslie Michelle Harris | Massage Therapist | 735 Se Mount Hood Hwy, Suite C, Gresham, OR 97080-9280 | 2009-02-26 |
| 1073753372 | Tommy Lee Harris | Massage Therapist | 735 Se Mount Hood Hwy, Suite C, Gresham, OR 97080-9280 | 2009-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428554 | Jeffrey Henry Lucero | Social Worker | 4687 Se 1st Terrace, Gresham, OR 97080 | 2016-03-03 |
| 1124371059 | Nickole Turner | Massage Therapist | 2831 Se Palmquist Rd #157, Gresham, OR 97080 | 2012-10-16 |
| 1992061048 | Russell A Wendt | Pharmacist | 2497 Ne Roberts Ave, Gresham, OR 97080 | 2012-04-03 |
| 1821385584 | Angela West | Counselor | 320 Sw 6th Ave., Gresham, OR 97080 | 2011-07-01 |
| 1043543572 | Natalie Dawn Wilson | Behavioral Analyst | 97 Sw Riverview Place, Gresham, OR 97080 | 2009-09-16 |
| 1427205442 | Maria G Jolley | Dental Hygienist | 1267 Se Stapleton Loop, Gresham, OR 97080 | 2008-08-21 |
| 1073776738 | Sabrina Joye Hindman | Marriage & Family Therapist | 6370 Se 26th St, Gresham, OR 97080 | 2008-07-03 |
| 1669676193 | Kimberly Sabin | Nurse Practitioner | 2222 E Powell Blvd, Gresham, OR 97080 | 2007-06-11 |
| 1932223880 | Julie Elizabeth Croshaw | Pharmacist | 2444 E Powell Blvd, Gresham, OR 97080 | 2007-03-18 |
| 1508903261 | Lonetta Elise Davis | Adult Companion | 349 Se Plamblad, Gresham, OR 97080 | 2007-01-31 |
| Find all providers in zip 97080 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699128025 | Shawna Joseph | Durable Medical Equipment & Medical Supplies | 348 Ne 219th Ave, Gresham, OR 97030-8419 | 2016-07-20 |
| 1205207073 | Northwest Extremity Specialists | Durable Medical Equipment & Medical Supplies | 831 Nw Council Dr Ste 203, Gresham, OR 97030-3723 | 2015-10-19 |
| 1245591478 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 3900 W Powell Blvd, Gresham, OR 97030-6048 | 2012-06-05 |
| 1902075625 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 439 Ne 223rd Ave, Gresham, OR 97030-8557 | 2008-02-27 |
| 1497864789 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1555 Northeast Division Street, Hood Shopping Center, Gresham, OR 97030-4271 | 2006-08-30 |
| 1235144213 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4285 W Powell Blvd, Gresham, OR 97030-5050 | 2006-07-29 |
| 1386673317 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 1001 Sw Highland Dr, Gresham, OR 97080-6354 | 2006-07-02 |
| 1538198569 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 1455 Ne Division St, Gresham, OR 97030-4270 | 2006-07-02 |
| 1285681338 | Oregon Optical Management, Inc. | Durable Medical Equipment & Medical Supplies | 22660 Se Stark St, Gresham, OR 97030-2684 | 2006-05-27 |
| 1043752694 | Joseph Medical | Durable Medical Equipment & Medical Supplies | 348 Ne 219th Ave, Gresham, OR 97030-8419 | 2016-11-14 |
| Find all providers in GRESHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.