| Organization Name: | KEIZER HEARING AID CENTER |
| NPI Number: | 1003049784 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL JAMES (OWNER) |
| Mailing Address: | 5466 River Rd N Keizer |
| State: | OR US |
| Postal Code: | 973034483 |
| Phone Number: | 5033932222 |
| Fax Number: | 5033932723 |
| NPI Enumeration Date: | 08/28/2009 |
| NPI Last Update Date: | 08/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332S00000X |
| License Number: | HAS-P-428251 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Hearing Aid Equipment |
| Taxonomy Specialization: | |
| Taxonomy Definition: | The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |