DR. SHELLY E BOELTER (NPI# 1912191909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912191909 |
| Entity Type | Individual |
| Full Name | DR. SHELLY E BOELTER |
| Credential | AUD CCC-A |
| Practice Address |
3550 Sw Bond Ave Suite 173 Portland OR 97239-4507 |
| Practice Telephone | 5036886590 |
| Practice Fax Number | 5036886595 |
| Mailing Telephone | 5036886590 |
| Mailing Fax Number | 5036886595 |
| Enumeration Date | 2007-09-01 |
| Last Update Date | 2013-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 22552 | OR | Speech, Language and Hearing Service Providers |
| Street Address |
3550 SW BOND AVE SUITE 173 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-4507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609349398 | Calvin Yuan Wah Lee | Physical Therapist | 3550 Sw Bond Ave, Portland, OR 97239-4507 | 2019-01-06 |
| 1649798745 | Travis Barden | Occupational Therapy Assistant | 3550 Sw Bond Ave, Portland, OR 97239-4507 | 2017-09-08 |
| 1174988612 | Kay Linda Foust | Occupational Therapy Assistant | 3550 Sw Bond Ave, Rehab, Portland, OR 97239 | 2015-12-29 |
| 1669840518 | Kenneth Richard Berg | Dentist | 3550 Sw Bond Ave, Portland, OR 97239-4507 | 2015-09-09 |
| 1427443431 | Curtis Hartling | Audiologist | 3550 Sw Bond Ave, Suite 173, Portland, OR 97239-4507 | 2015-04-06 |
| 1265863989 | Steven Massingale | Physical Therapy Assistant | 3550 Sw Bond Ave, Portland, OR 97239-4507 | 2013-12-05 |
| 1043501836 | Geromedical Psychological Service Ps | Psychologist | 3550 Sw Bond Ave, Portland, OR 97239-4507 | 2011-04-27 |
| 1487975959 | Mirabella At South Waterfront | Assisted Living Facility | 3550 Sw Bond Ave, Portland, OR 97239-4506 | 2010-06-18 |
| 1497983951 | Erin M Lingo | Physical Therapist | 3550 Sw Bond Ave, Portland, OR 97239-4507 | 2009-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| 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 |
|---|---|---|---|---|
| 1629624945 | Lisa Ann Fratini | Audiologist | 3181 Sw Sam Jackson Park Rd Ste 250, Portland, OR 97239-3011 | 2019-08-13 |
| 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 |
| 1083195317 | Kimberly Michiko Nakayama | Audiologist | 2230 Nw Pettygrove St Ste 120, Portland, OR 97210-2659 | 2018-08-24 |
| 1295277622 | Amanda Ruth Kidman | Audiologist | 13003 Sw Brianne Way, Portland, OR 97223 | 2016-11-16 |
| 1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
| 1548633266 | Rachel Wilson | Audiologist | 919 Ne 19th Ave, 170, Portland, OR 97232-2210 | 2015-11-03 |
| 1134520604 | Paul Pendergraft | Audiologist | 316 Ne 60th Ave, Apt A1, Portland, OR 97213-3765 | 2014-09-15 |
| Find all providers in PORTLAND | ||||
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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.