Active NPI
Willoughby Hearing Aid Centers
- Hearing Aid Equipment
- Albany, OR
National Provider Identifier
1740301563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Aid Equipment
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2432417000 | Other | FEDERAL WORKERS' COMP | |
| 212936 | Medicaid | OR |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Hearing Instrument Specialist
- King City, OR
- NPI 1811012461
-
- Hearing Instrument Specialist
- Portland, OR
- NPI 1609991256
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.