BRUCE L DAUGHERTY (NPI# 1639425309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639425309 |
| Entity Type | Individual |
| Full Name | BRUCE L DAUGHERTY |
| Practice Address |
744 5th St Suite H Clarkston WA 99403-2670 |
| Practice Telephone | 5092956163 |
| Practice Fax Number | 5092956160 |
| Mailing Telephone | 5092956163 |
| Mailing Fax Number | 5092956160 |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2013-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | HA 60206123 | WA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811994478 | Bruce Charles Daugherty | Surgery | 5301 W 119th Pl, Inglewood, CA 90304-1019 | 2005-06-28 |
| Street Address |
744 5TH ST SUITE H |
| City | CLARKSTON |
| State | WA |
| Zip Code | 99403-2670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558502807 | Mark C Mckarcher | Counselor | 744 5th St, Suite D, Clarkston, WA 99403-2670 | 2009-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306409669 | Jessica Elaine Krull | Specialist/Technologist | 807 3rd Street, Clarkston, WA 99403 | 2019-04-22 |
| 1477006526 | Idaho County Rideshare | Non-emergency Medical Transport (VAN) | 1470 Elm Street, Clarkston, WA 99403 | 2016-07-25 |
| 1679921340 | Jonathan Preszler | Counselor | 629 6th Street, Educational and Psychological Services, Clarkston, WA 99403 | 2016-06-02 |
| 1104204957 | Optimal Health and Wellness | Clinic/Center | 1267 Belmont Way, Clarkston, WA 99403 | 2015-05-13 |
| 1326456351 | David Nygren | Pharmacist | 506 5th St, Clarkston, WA 99403 | 2014-07-22 |
| 1255672895 | Alpowa Healthcare, Inc. | Hospice Care, Community Based | 1370 Bridge Street, Clarkston, WA 99403 | 2013-03-06 |
| 1265799407 | Elizabeth Bagnulo Dacey | Pathology | 1225 Highland Avenue, Clarkston, WA 99403 | 2012-04-12 |
| 1649586256 | Zeeshan Afzal | Internal Medicine | 1119 Highland Ave Ste 3, Clarkston, WA 99403 | 2010-08-20 |
| 1154657955 | Twin River Vision, Inc. | Optometrist | 306 5th Street, Clarkston, WA 99403 | 2009-10-29 |
| 1649429317 | Elizabeth Marie Allen-racicot | Specialist | 1013 Bridge Street, Clarkston, WA 99403 | 2008-09-17 |
| Find all providers in zip 99403 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225393945 | Janna Mccann | Hearing Instrument Specialist | 6678 Dixie Hwy Ste 103, Clarkston, MI 48346-2985 | 2012-07-09 |
| 1841269818 | Robert H. Baker | Hearing Instrument Specialist | 917 N Indian Creek Dr, Clarkston, GA 30021-2245 | 2006-03-14 |
| 1508243817 | Jeffrey Fargason | Hearing Instrument Specialist | 917 N Indian Creek Dr, Clarkston, GA 30021-2245 | 2015-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447858774 | Marlyn Daza Green | Hearing Instrument Specialist | 9576 Ridgetop Blvd Nw Ste 103, Silverdale, WA 98383-8554 | 2020-10-09 |
| 1235746785 | Stephanie Marie Sawyer | Hearing Instrument Specialist | 512 W Yelm Ave Unit A, Yelm, WA 98597-8773 | 2020-09-29 |
| 1457968893 | Shelly Strand | Hearing Instrument Specialist | 409 S Market Blvd # 11, Chehalis, WA 98532-3043 | 2020-09-29 |
| 1568096956 | Daniel Joseph Morehouse | Hearing Instrument Specialist | 831 E Colonial Ave, Moses Lake, WA 98837-4611 | 2020-02-25 |
| 1063042760 | Ronda Carlson | Hearing Instrument Specialist | 1901 S 72nd St # A14, Tacoma, WA 98408-1200 | 2020-01-22 |
| 1073153938 | Patsy Diane Ragland | Hearing Instrument Specialist | 505 S Division St, Moses Lake, WA 98837-1958 | 2020-01-08 |
| 1588215917 | Sound Associates Northwest, LLC | Hearing Instrument Specialist | 9776 Holman Rd Nw Ste 101, Seattle, WA 98117-2000 | 2019-09-26 |
| 1639727167 | Valley Hearing Associates LLP | Hearing Instrument Specialist | 2205 W Dolarway Rd Ste 1, Ellensburg, WA 98926-8241 | 2019-08-28 |
| 1376028688 | Ciara Musgrove | Hearing Instrument Specialist | 1201 S Union Ave Ste 2, Tacoma, WA 98405-1916 | 2018-10-02 |
| 1427537323 | Elisa Welch | Hearing Instrument Specialist | 1308 Sheridan St, Port Townsend, WA 98368-8619 | 2018-08-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.