| NPI | 1114108933 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-11-20 |
| Last Updated | 2025-08-01 |
| Authorized Official | Allison Bradley owner Phone: 5032841906 |
| Mailing Address | 3502 Ne Broadway St Portland, OR 97232-1821 United States Phone: (503) 284-1906 | Fax: (503) 546-0894 📍 View Map |
| Primary Practice Address | 3502 Ne Broadway St Portland, OR 97232-1821 United States Phone: (503) 284-1906 | Fax: (503) 546-0894 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332S00000X – Hearing Aid Equipment | — | — |
| Yes | 231H00000X – Audiologist | — | — |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1114108933
Pacific Audiology Clinic, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1114108933. The primary specialty listed is Audiologist. The organization is located in Portland, OR. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-11-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1114108933?
NPI 1114108933 belongs to Pacific Audiology Clinic, Llc, a Audiologist in Portland, OR. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1114108933 active?
The current status of NPI 1114108933 in the NPPES registry is Active. The record was last updated on 2025-08-01.
What specialty is NPI 1114108933?
NPI 1114108933 is classified under the taxonomy Audiologist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1114108933?
You can verify NPI 1114108933 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1114108933?
The primary practice address on file for NPI 1114108933 is 3502 Ne Broadway St, Portland, OR 97232-1821. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1114108933 issued?
NPI 1114108933 was first issued (enumerated) on 2007-11-20. The NPPES record was last updated on 2025-08-01.
Practice Location Map
Pacific Audiology Clinic, Llc is located at 3502 Ne Broadway St, Portland, OR. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Pacific Audiology Clinic, Llc. All records sourced from the CMS NPPES registry.