IndividualActive
Bryan Wall, BC-HIS
NPI 1578863700 · Hearing Instrument Specialist · Yacolt, WA
Provider details
- NPI number
- 1578863700
- Entity type
- Individual
- Primary specialty
- Hearing Instrument SpecialistSpeech, Language and Hearing Service Providers
- Credential
- BC-HIS
- Sex
- Male
- Sole proprietor
- Yes
- License
- HA 00004733 (WA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Practice location
15518 Ne Fargher Lake Hwy
Yacolt, WA 98675-4508
Phone: (360) 263-4000
Approximate (ZIP-level) locationGet directions
Mailing address
26916 Ne 434th St
Amboy, WA 98601-4636
Registry dates
- Enumerated
- 2010-10-21
- Last updated
- 2010-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.