NPIMap

Organization Active NPI

Mt. Hood Hearing Aid Center, Inc.

  • Hearing Instrument Specialist
  • Portland, OR
National Provider Identifier
1942282850
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
0310216371 Issued in OR
Legal business name
MT. HOOD HEARING AID CENTER, INC.
Practice address
4105 SE Division St
Portland, OR 97202-1646
Phone
(503) 669-8070
Fax
(503) 236-3513
NPI assigned
Nov 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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

Authorized official

Name
Mr. Vladimir Antonio Gutierrez, HEARING SPECIALISTNPI 1780752360
Title
President / Hearing Aid Dispenser
Phone
(503) 669-8070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X 0310216371 OR Primary

Addresses

Primary practice location

4105 SE Division St
Portland, OR 97202-1646

Mailing address

PO Box 16862
Portland, OR 97292-0862
Phone (503) 669-8070

Other identifiers 1

IdentifierTypeStateIssuer
233180MedicaidOR

National Provider Directory

National Provider Directory

Locations

4105 SE Division St
Portland, OR 97202
Phone (503) 669-8070

Practitioners & affiliated clinicians

Practitioners 3

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": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1942282850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16862",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972920862",
            "telephone_number": "503-669-8070",
            "fax_number": "503-236-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021646",
            "telephone_number": "503-669-8070",
            "fax_number": "503-236-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. HOOD HEARING AID CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT / HEARING AID DISPENSER",
        "authorized_official_telephone_number": "503-669-8070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "HEARING SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "OR",
            "license": "0310216371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233180",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.