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Bryan Wall, BC-HIS
NPI 1578863700 · on the registry since 2010 · sole proprietor
Practice
- Address
- 15518 Ne Fargher Lake Hwy
Yacolt, WA 98675 - Phone
- (360) 263-4000
- Organisation at this address
- Fargher Lake Hearing Aids Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Also registered as
- 237700000X
- Licence states on file
- WA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-10-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington