Provider Demographics
NPI:1144432956
Name:STOOPS, ROGER TAZE (BC-HIS)
Entity type:Individual
Prefix:MR
First Name:ROGER
Middle Name:TAZE
Last Name:STOOPS
Suffix:
Gender:M
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 SE 3RD ST.
Mailing Address - Street 2:BELTONE HEARING CENTER
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702
Mailing Address - Country:US
Mailing Address - Phone:541-389-9690
Mailing Address - Fax:541-388-1623
Practice Address - Street 1:141 SE 3RD ST.
Practice Address - Street 2:BELTONE HEARING CENTER
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702
Practice Address - Country:US
Practice Address - Phone:541-389-9690
Practice Address - Fax:541-388-1623
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50638237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist