Organization Active NPI

Pacific Northwest Hearing LLC

  • Hearing Instrument Specialist
  • Spokane, WA
National Provider Identifier
1376079715
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA 60648139 Issued in WA
Legal business name
PACIFIC NORTHWEST HEARING LLC
Practice address
1402 N Division St
Suite B
Spokane, WA 99202-1811
Phone
(509) 327-7078
Fax
(509) 327-3404
NPI assigned
May 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Authorized official

Name
Mr. Trevor Levi Jensen
Title
Owner
Phone
(509) 327-7078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X HA 60648139 WA Primary

Addresses

Primary practice location

1402 N Division St
Suite B
Spokane, WA 99202-1811

Mailing address

1402 N Division St
Suite B
Spokane, WA 99202-1811
Phone (509) 327-7078

National Provider Directory

National Provider Directory

Locations

1402 N Division St
#B
Spokane, WA 99202
Phone (509) 327-7078

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1376079715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 N DIVISION ST",
            "address_2": "SUITE B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021811",
            "telephone_number": "509-327-7078",
            "fax_number": "509-327-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 N DIVISION ST",
            "address_2": "SUITE B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021811",
            "telephone_number": "509-327-7078",
            "fax_number": "509-327-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NORTHWEST HEARING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "LEVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-327-7078",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "WA",
            "license": "HA 60648139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.