NPIMap

Organization Active NPI

Evergreen Hearing Center, Inc

  • Hearing Instrument Specialist
  • McMinnville, OR
National Provider Identifier
1124206867
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HAS-P 209627 Issued in OR
Legal business name
EVERGREEN HEARING CENTER, INC
Practice address
1024 NE Baker St
McMinnville, OR 97128-4932
Phone
(503) 472-8850
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Christopher Gustafson
Title
Owner
Phone
(503) 472-8850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X HAS-P 209627 OR Primary

Addresses

Primary practice location

1024 NE Baker St
McMinnville, OR 97128-4932

Mailing address

1024 NE Baker St
McMinnville, OR 97128-4932
Phone (503) 472-8850

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1124206867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 NE BAKER ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284932",
            "telephone_number": "503-472-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 NE BAKER ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284932",
            "telephone_number": "503-472-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN HEARING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "GUSTAFSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-472-8850",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "OR",
            "license": "HAS-P 209627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.