Hearing By Design’s Vancouver, Washington Office

Hearing by Design

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Call or text us now at 360-342-9240 or send in the form and get your questions answered.


Hearing By Design
8317 E Mill Plain Blvd.
Vancouver, WA 98664

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Call or text: 360-342-9240


Monday through Friday, 9am-4pm

Vancouver, WA Google Business Profile

Schedule an appointment with our qualified Vancouver, Washington hearing instrument specialists for your hearing loss, hearing aids, or a hearing test.

    Discover what we’ve accomplished for so many others in Vancouver, Washington who were experiencing hearing loss. We can help you, too.

    Hearing loss can feel isolating. But it doesn’t have to be that way. At our Vancouver, Washington, location we’re more than just hearing aids. We can help you identify the cause of your hearing loss through hearing tests and a hearing health evaluation to determine what treatment options will work best for you.

    Meet Our Team

    Elizabeth Miller, BC-HIS, Board Certification in Hearing Instrument Sciences, Owner

    Elizabeth Miller, BC-HIS
    Board Certification in Hearing Instrument Sciences, Owner

    Elizabeth has always felt a passion for the hearing profession. Initially she decided to get a Bachelor of Science Degree in Social Work from the University of Oregon. She was licensed in Oregon as a Hearing Instrument Specialist in 2008.

    Elizabeth continued to work toward her goal of becoming Board Certified in 2018 while obtaining her Washington State License in 2018. At that time, she began working with Mr. Rick Giles who mentored her and transitioned his successful business into her ownership in 2020. Rick Giles is continuing to mentor Elizabeth and is also the former President of the International Hearing Society. Mrs. Miller is currently serving on the Board of Directors for the Washington Hearing society.  As of 2022, Elizabeth has been elected to the NBC-HIS Executive Council.

    Rick Giles, BC-HIS, Board Certification in Hearing Instrument Sciences

    Rick Giles, BC-HIS
    Board Certification in Hearing Instrument Sciences

    Rick stumbled onto the profession as a young man looking for a career where he could not only help people but also make a decent living. After a few unsatisfying years in the major appliance business in 1981 as the father of an infant with a second child on the way Rick used the then “National Hearing Aid Society Distance-Learning Course” to study for the Washington state licensing exam.

    Following a short stint with hearing aid offices in Vancouver and Longview WA he went to work with Dan Quall in 1986 as a field consultant. Within a few years he worked his way up to managing their Vancouver office, which he purchased in 1994. Ear-Care Hearing Aid Center, DBA Hearing by Design is a private practice dispensing office located in Rick’s home town of Vancouver Washington. Elizabeth Miller purchased the business in 2020, Rick is now semi-retired and works for Elizabeth 1 week a month. Rick is Married to Ann Cockram, whom he first met in junior high school. Ann is a retired educator and recently retired from managing the Washington Education Association health care plan’s online enrollment. He has three children ages 34 to 40, and an Australian Shepard named Dakota Jak aka Kody, who served as Rick’s offices’ official greeter.

    Rick has worked in the hearing aid industry for over 40 years. He joined the International Hearing Society in 1986 and is a Past President (2016 – 2018) after serving on the board of governors for the previous 10 years. He received his National Board Certification in 1992 and completed the American Conference of Audioprosthology program in 2009. Rick holds licensure in both Oregon and Washington is a past member of the Washington Department of Health, Board for Hearing & Speech. Rick has held just about every office in the Washington Hearing Society and is the current President. He was instrumental in helping pass several pieces of important legislation, is past President of the Oregon Hearing Society and past board member of the International Institute for Hearing Instrument Studies. Rick is very active in community service having serving on many boards including his church council, Fort Vancouver Lions, Northwest Lions Sight & Hearing Foundation, Audient low cost hearing aid program and the Clark County Lions Hearing Foundation. Rick is an avid skier and sailor; in all his spare time he enjoys buying old sailboats retrofitting them and selling them at a loss.

    Breanna Perkins, HIS, Hearing Instrument Specialist

    Breanna Perkins, HIS
    Hearing Instrument Specialist

    Breanna began working as a receptionist for Hearing by Design back in 2012 after completing her bachelors degree in Audiology and Speech Language Pathology from Washington State University. She quickly fell in love with the work and being able to help people hear better.

    Rick Giles became her mentor and she enrolled back into college, completing a two year associates degree in the Hearing Instrument Specialist program through Spokane Community College. Breanna passed her state board exams in 2015 and has been a licensed Hearing Aid Specialist ever since. She loves the work that she does and loves this office. She says they have all grown up together and are a family. Breanna came into this office at 22 years old and her colleagues have been there to watch her grow up, meet her husband Tanner, get married, and have her first daughter, Quinn.
    Jenni Cochran, BC-HIS, Board Certification in Hearing Instrument Sciences

    Jenni Cochran, BC-HIS
    Board Certification in Hearing Instrument Sciences

    Jenni received her AAS degree in Hearing Instrument Science from Spokane Falls Community College. Originally from Minnesota, she has lived in New York City and Spokane before relocating to Vancouver in 2022.

    Jenni’s interests include spending time with her husband and her dogs, reading, being creative with art and crafts, road trips and exploring the PNW. Jenni became interested in hearing science when Covid first hit the United States. She began to notice more and more people struggling to hear and understand with face mask use. She realized there were so many people that needed help with their hearing health that she took the leap to go back to school to learn new skills and become a hearing aid specialist.

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