MR. RON SUNDHOLM (NPI# 1962592766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962592766 |
| Entity Type | Individual |
| Full Name | MR. RON SUNDHOLM |
| Practice Address |
4259 Ne Broadway St Portland OR 97213-1421 |
| Mailing Address |
16940 Se Azalea Dr Milwaukie OR 97267-4526 |
| Practice Telephone | 5032888334 |
| Mailing Telephone | 5037851915 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | HASP 229741 | OR | Speech, Language and Hearing Service Providers |
| Street Address |
4259 NE BROADWAY ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-1421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083036073 | John Mccollum | Specialist | 4259 Ne Broadway St, Portland, OR 97213-1421 | 2014-01-10 |
| 1407128309 | Gift of Life Clinic | Midwife | 4259 Ne Broadway St, Portland, OR 97213-1421 | 2012-02-08 |
| 1407090640 | Michael L Crupper | Naturopath | 4259 Ne Broadway St, Portland, OR 97213-1421 | 2009-04-30 |
| 1609992650 | Mia Marin- Peck Crupper | Specialist | 4259 Ne Broadway St, Portland, OR 97213-1421 | 2007-03-21 |
| 1528193380 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 4259 Ne Broadway St, Portland, OR 97213-1421 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| 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 |
|---|---|---|---|---|
| 1295201341 | Alyssa M Bartlett | Hearing Instrument Specialist | 2100 Ne Broadway St Ste 305, Portland, OR 97232-1570 | 2018-10-16 |
| 1235656265 | Jacob Paul Tauzin | Hearing Instrument Specialist | 5455 Se 91st Ave, Portland, OR 97266-4603 | 2017-08-30 |
| 1689075087 | Hearing Solutions Northwest, LLC. | Hearing Instrument Specialist | 1730 Sw Skyline Blvd Ste 110, Portland, OR 97221-2547 | 2014-09-04 |
| 1073913760 | Christina Marie York | Hearing Instrument Specialist | 1500 Wildcat Dr Ste B, Portland, TX 78374-2826 | 2014-08-29 |
| 1013337112 | Max Clark | Hearing Instrument Specialist | 11919 Ne Glisan St, Portland, OR 97220-2144 | 2014-04-16 |
| 1487999199 | Spencer L Snow | Hearing Instrument Specialist | 1737 Ne 42nd Ave, Portland, OR 97213-1526 | 2012-12-06 |
| 1740555655 | Duane L Smelser | Hearing Instrument Specialist | 4921 Sw 76th Ave, Portland, OR 97225-1805 | 2012-03-12 |
| 1285948398 | Robert J Augur Jr. | Hearing Instrument Specialist | 11942 Ne Glisan St, Portland, OR 97220-2143 | 2010-07-30 |
| 1275854804 | Darin T Scheurer | Hearing Instrument Specialist | 6723 Sw 12th Ave, Portland, OR 97219-2001 | 2010-06-17 |
| 1659696797 | Michael Spain | Hearing Instrument Specialist | 10570 Se Washinton St, Ste 210, Portland, OR 97216 | 2010-04-01 |
| Find all providers in PORTLAND | ||||
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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.