Pacific Northwest Hearing Aid Service LLC

Primary specialty

Hearing Aid EquipmentTaxonomy code 332S00000X

License

HA715 Issued in WA

Legal business name

PACIFIC NORTHWEST HEARING AID SERVICE LLC

Practice address

704 W Poplar St
Walla Walla, WA 99362-2749

Phone

(509) 527-3521

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Lee Roy Champ, NBCHIS

Title

Owner Hearing Aid Dealer

Phone

(509) 527-3521

Specialties & licenses 1

Addresses

Other names 1

• Lee R. Champ Other name

Locations

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1821215955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 W POPLAR ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622749",
            "telephone_number": "509-527-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 W POPLAR ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622749",
            "telephone_number": "509-527-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NORTHWEST HEARING AID SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "CHAMP",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "OWNER HEARING AID DEALER",
        "authorized_official_telephone_number": "509-527-3521",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NBCHIS"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "WA",
            "license": "HA715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lee R. Champ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tyhra Owen, LMP
• Heather Michelle Owens, NBC-HWC
• Julie Coleen Owens, LMP
• Eniojurunda Oyefeso
• Danielle Oyen
• Ronald David Page, PHD
• Aidan Paliotti
• Irene Palmer
• Shelly Lyn Palmer, CDPT
• Palouse Counseling Service, PLLC (Palouse Counseling, PLLC)

• Hearing Aid Equipment in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Hearing Aid Equipment in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.