Doctor Name: | MR. RON SUNDHOLM |
NPI Number: | 1962592766 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | HASP 229741 |
Business Practice Address: | 4259 Ne Broadway St Portland, OR - 972131421 |
Business Phone Number: | 5032888334 |
Business Fax Number: | |
Mailing Address: | 16940 Se Azalea Dr, MILWAUKIE |
State: | OR |
Postal Code: | 972674526 |
Phone Number: | 5037851915 |
Fax Number: | |
NPI Enumeration Date: | 10/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 237700000X |
License Number: | HASP 229741 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Hearing Instrument Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |