Organization Active NPI

Willoughby Hearing Aid Centers

  • Hearing Aid Equipment
  • Albany, OR
National Provider Identifier
1740301563
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
Legal business name
WILLOUGHBY HEARING AID CENTERS
Practice address
1540 9TH Ave SE
Albany, OR 97322-4869
Phone
(541) 928-2182
Fax
(541) 928-2695
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Christine Moulton, M.S., CCC-A
Title
Audiologist
Phone
(503) 233-6141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X Primary

Addresses

Primary practice location

1540 9TH Ave SE
Albany, OR 97322-4869

Mailing address

1939 E Burnside St
Portland, OR 97214-1535
Phone (503) 233-6141

Other identifiers 2

IdentifierTypeStateIssuer
2432417000OtherFEDERAL WORKERS' COMP
212936MedicaidOR

National Provider Directory

National Provider Directory

Locations

1540 9th Ave SE
Albany, OR 97322
Phone (541) 928-2182

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": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740301563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 E BURNSIDE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141535",
            "telephone_number": "503-233-6141",
            "fax_number": "503-233-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 9TH AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973224869",
            "telephone_number": "541-928-2182",
            "fax_number": "541-928-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOUGHBY HEARING AID CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOULTON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "503-233-6141",
        "authorized_official_credential": "M.S., CCC-A"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WORKERS' COMP",
            "identifier": "2432417000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212936",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.