MR. JACOB MICHAEL BEADLES (NPI# 1689174963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689174963 |
| Entity Type | Individual |
| Full Name | MR. JACOB MICHAEL BEADLES |
| Credential | AUD. |
| Practice Address |
9735 Sw Shady Ln Ste 302 Tigard OR 97223-5481 |
| Mailing Address |
25025 Ne Boones Ferry Rd Aurora OR 97002-8560 |
| Practice Telephone | 5032273668 |
| Practice Fax Number | 5032272234 |
| Mailing Telephone | 2132783414 |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 030904 | OR | Speech, Language and Hearing Service Providers |
| Street Address |
9735 SW SHADY LN STE 302 |
| City | TIGARD |
| State | OR |
| Zip Code | 97223-5481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013937275 | Maralyn Dennise Martindale | Audiologist | 9735 Sw Shady Ln Ste 302, Tigard, OR 97223-5481 | 2006-07-20 |
| 1316425010 | Portland Audiology Clinic, LLC | Audiologist | 9735 Sw Shady Ln Ste 302, Tigard, OR 97223-5481 | 2018-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013937275 | Maralyn Dennise Martindale | Audiologist | 9735 Sw Shady Ln Ste 302, Tigard, OR 97223-5481 | 2006-07-20 |
| 1316425010 | Portland Audiology Clinic, LLC | Audiologist | 9735 Sw Shady Ln Ste 302, Tigard, OR 97223-5481 | 2018-08-03 |
| 1326353988 | Barbara Jean Harris | Audiologist | 9250 Sw Hall Blvd, Tigard, OR 97223-6721 | 2010-08-06 |
| 1679766208 | Serena Amber-nelle Shafer | Audiologist | 9250 Sw Hall Blvd, Tigard, OR 97223 | 2007-08-27 |
| 1982632782 | Marsha J Owen | Audiologist | 9250 Sw Hall Blvd, Tigard, OR 97223-6721 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083234710 | Kelly Mankin Anderson | Audiologist | 135 Nw 17th St, Bend, OR 97703-2420 | 2020-04-22 |
| 1629624945 | Lisa Ann Fratini | Audiologist | 3181 Sw Sam Jackson Park Rd Ste 250, Portland, OR 97239-3011 | 2019-08-13 |
| 1669039434 | Mathew Ray Lingmann | Audiologist | 15405 Sw 116th Ave Ste 200, King City, OR 97224-4105 | 2019-05-28 |
| 1548739097 | Danielle Garrido | Audiologist | 12724 Se Stark St Bldg H, Portland, OR 97233-1539 | 2018-11-14 |
| 1548745540 | Alyce Schott | Audiologist | 3181 Sw Sam Jackson Park Rd Ste 250.36, Portland, OR 97239-3098 | 2018-09-26 |
| 1518440080 | Lauren Marie Rynders | Audiologist | 919 Ne 19th Ave Ste 170, Portland, OR 97232-2210 | 2018-09-11 |
| 1053894626 | Oriana P Maldonado | Audiologist | 501 N Graham St Ste 320, Portland, OR 97227-2001 | 2018-09-10 |
| 1972084812 | Jamie Malynn Hubbard-parker | Audiologist | 3099 River Rd S # 120, Salem, OR 97302-9754 | 2018-08-28 |
| 1083195317 | Kimberly Michiko Nakayama | Audiologist | 2230 Nw Pettygrove St Ste 120, Portland, OR 97210-2659 | 2018-08-24 |
| 1851894604 | Sophia Bao Nguyen | Audiologist | 3857 Wolverine St Ne Ste 16c, Salem, OR 97305-4270 | 2018-03-16 |
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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.