Provider Demographics
NPI:1255646246
Name:GRANT'S HEARING CENTER
Entity type:Organization
Organization Name:GRANT'S HEARING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GRANT
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDING
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:541-344-4442
Mailing Address - Street 1:1020 GREEN ACRES RD
Mailing Address - Street 2:SUITE NO. 8
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97408-1765
Mailing Address - Country:US
Mailing Address - Phone:541-344-4442
Mailing Address - Fax:541-344-4501
Practice Address - Street 1:1020 GREEN ACRES RD
Practice Address - Street 2:SUITE NO. 8
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97408-1765
Practice Address - Country:US
Practice Address - Phone:541-344-4442
Practice Address - Fax:541-344-4501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-13
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORHAS-P-428163332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment