Provider Demographics
NPI:1316324346
Name:HEARING AIDS BY TRICIA LEAGJELD LLC
Entity type:Organization
Organization Name:HEARING AIDS BY TRICIA LEAGJELD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEAGJELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-316-5064
Mailing Address - Street 1:708 SW 11TH ST
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-2648
Mailing Address - Country:US
Mailing Address - Phone:541-316-5064
Mailing Address - Fax:541-699-4206
Practice Address - Street 1:708 SW 11TH ST
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-2648
Practice Address - Country:US
Practice Address - Phone:541-316-5064
Practice Address - Fax:541-699-4206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-28
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment