Active NPI
Pacific Hearing Services
- Hearing Instrument Specialist
- Corvallis, OR
National Provider Identifier
1700377108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- Legal business name
- PACIFIC HEARING SERVICES
- Practice address
- 975 NW Spruce Ave, Suite #101
Corvallis, OR 97330 - Phone
- (541) 752-2042
- Fax
- (541) 752-4583
- NPI assigned
- May 22, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Randall Lee Glaser
- Title
- Owner
- Phone
- (541) 752-2042
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistive Technology Supplier Audiologist | 231HA2500X | |||
| Hearing Instrument Specialist | 237700000X | Primary |
Addresses
Primary practice location
975 NW Spruce Ave, Suite #101
Corvallis, OR 97330
Mailing address
975 NW Spruce Ave, Suite #101
Corvallis, OR 97330
Phone (541) 752-2042
National Provider Directory
National Provider DirectoryLocations
975 NW Spruce Ave
Ste 101
Corvallis, OR 97330
Phone (541) 752-2042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526947200000",
"number": "1700377108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 NW SPRUCE AVE, SUITE #101",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "97330",
"telephone_number": "541-752-2042",
"fax_number": "541-752-4583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 NW SPRUCE AVE, SUITE #101",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "97330",
"telephone_number": "541-752-2042",
"fax_number": "541-752-4583"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC HEARING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-22",
"last_updated": "2018-05-22",
"status": "A",
"authorized_official_last_name": "GLASER",
"authorized_official_first_name": "RANDALL",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "541-752-2042",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "231HA2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Audiologist, Assistive Technology Supplier",
"state": null,
"license": null,
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Hearing Instrument Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.