AUDIOLOGY CENTER NORTHWEST LLC (NPI# 1073841391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073841391 |
| Entity Type | Organization |
| Organization Name | AUDIOLOGY CENTER NORTHWEST LLC |
| Practice Address |
1225 Ne 2nd Ave Portland OR 97232-2003 |
| Mailing Address |
10350 N Vancouver Way # 236 Portland OR 97217-7530 |
| Practice Telephone | 5039284327 |
| Mailing Telephone | 5039284327 |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-11-24 |
| Authorized Official Name | DR. ERIC FREDERICK (OWNER/AUDIOLOGIST) |
| Authorized Official Telephone | 5039284327 |
| Authorized Official Credential | AUD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | AUDIOLOGY CENTER NORTHWEST LLC | 919 Ne 19th Ave, Suite 170n, Portland, OR 97232 |
| System for Award Management (SAM) Entities | AUDIOLOGY CENTER NORTHWEST LLC | 919 Ne 19th Ave Ste 170, Portland, OR 97232-2210 |
| Street Address |
1225 NE 2ND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497727903 | Gregory Miller | Psychiatry & Neurology | 1225 Ne 2nd Ave, Portland, OR 97232-2003 | 2006-02-07 |
| 1104435809 | Caleb Terence Hughes | Counselor | 1225 Ne 2nd Ave, Portland, OR 97232-2003 | 2020-07-28 |
| 1073078366 | Jeremy Michael Good | Registered Nurse | 1225 Ne 2nd Ave, Portland, OR 97232-2003 | 2019-01-31 |
| 1053806653 | James Clark Trott | Registered Nurse | 1225 Ne 2nd Ave, Portland, OR 97232-2003 | 2018-06-26 |
| 1912410630 | Valerie Spear | Nurse Practitioner | 1225 Ne 2nd Ave, Portland, OR 97232-2003 | 2017-11-16 |
| 1376074427 | Angella Michelle King Cole | Registered Nurse | 1225 Ne 2nd Ave, Portland, OR 97232 | 2017-03-21 |
| 1245773225 | Legacy Emanuel Hospital & Health Center | Psychiatric Unit | 1225 Ne 2nd Ave, Portland, OR 97232-2003 | 2016-11-23 |
| 1003367491 | Legacy Emanuel Hospital & Health Center | General Acute Care Hospital | 1225 Ne 2nd Ave, Portland, OR 97232 | 2016-10-20 |
| 1083078265 | Corey Elizabeth Watson | Nurse Practitioner | 1225 Ne 2nd Ave, Portland, OR 97232 | 2016-04-13 |
| 1043692676 | Rodney Stuart Olin | Nurse Practitioner | 1225 Ne 2nd Ave, Unity Center, Portland, OR 97232-2003 | 2015-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
| 1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
| 1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
| 1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
| 1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
| 1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
| Find all providers in zip 97232 | ||||
| Taxonomy Code | 261QH0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Hearing and Speech |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407414428 | Seedling Speech & Language | Clinic/Center | 422 Se 79th Ave Ste 201, Portland, OR 97215-1519 | 2019-06-04 |
| 1093165623 | Green Hills Pediatric Therapy, Inc. | Clinic/Center | 5319 Sw Westgate Dr Ste 120, Portland, OR 97221-2313 | 2016-06-14 |
| 1093182644 | A Hope for Autism Foundation | Clinic/Center | 2120 Sw Jefferson St Ste B200, Portland, OR 97201-7727 | 2015-08-31 |
| 1598293078 | Dallhouse Speech and Language, LLC | Clinic/Center | 6723 Sw 15th Ave, Portland, OR 97219-2026 | 2017-05-30 |
| 1740524966 | Hearing Institute At The Artz Center | Clinic/Center | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225-5104 | 2012-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144716127 | Overland Speech and Swallowing Rehabilitation, LLC | Clinic/Center | 2046 Ne Red Rock Ln, Bend, OR 97701-6533 | 2018-07-02 |
| 1588154777 | Gn Hearing Care Corp | Clinic/Center | 141 Se 3rd St, Bend, OR 97702-1364 | 2018-05-14 |
| 1013423086 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 1807 Cove Ave, La Grande, OR 97850-3516 | 2017-12-28 |
| 1114447729 | Davies Speech-language Services, LLC | Clinic/Center | 1984 Nw Thomsen Ln, Mcminnville, OR 97128-2522 | 2017-06-23 |
| 1982078671 | Tuality Hearing Center, LLC | Clinic/Center | 1915 Nw Amberglen Pkwy Ste 400, Hillsboro, OR 97006-6938 | 2015-11-18 |
| 1073991378 | Chris Butterworth Speech Language Pathology, LLC | Clinic/Center | 1904 Adams Ave # 20, La Grande, OR 97850-2918 | 2015-05-07 |
| 1972927895 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 1647 Williams Hwy, Grants Pass, OR 97527-5699 | 2014-02-12 |
| 1568622231 | Mountain View Hearing Aid Center | Clinic/Center | 3845 Ne Division St, Gresham, OR 97030 | 2008-06-16 |
| 1407023328 | Sheldon Medical LLC | Clinic/Center | 490 N 2nd St, Suite C, Coos Bay, OR 97420-2370 | 2008-05-09 |
| 1417934886 | Pt Northwest LLC | Clinic/Center | 685 36th Ave Ne, Salem, OR 97301-0005 | 2005-12-28 |
| Find all providers with the same taxonomy | ||||
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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.