| Portland Audiology Clinic, Llc | |
|
9735 Sw Shady Ln Ste 302, Tigard, OR 97223-5481 | |
| (503) 227-3668 | |
| (503) 227-2234 |
| Full Name | Portland Audiology Clinic, Llc |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 9735 Sw Shady Ln Ste 302, Tigard, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316425010 | NPI | - | NPPES |
| 14284488 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 30820 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Portland Audiology Clinic, Llc 9735 Sw Shady Ln Ste 302, Tigard, OR 97223-5481 Ph: (503) 227-3668 | Portland Audiology Clinic, Llc 9735 Sw Shady Ln Ste 302, Tigard, OR 97223-5481 Ph: (503) 227-3668 |
Dr. Maralyn Dennise Martindale, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 9735 Sw Shady Ln Ste 302, Tigard, OR 97223 Phone: 503-227-3668 Fax: 503-227-2234 | |
Ms. Anne Elizabeth Heassler, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 11740 Sw 68th Pkwy, Tigard, OR 97223 Phone: 971-277-3245 | |
Serena Amber-nelle Shafer, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 9250 Sw Hall Blvd, Tigard, OR 97223 Phone: 503-293-0161 | |
Mr. Jacob Michael Beadles, AUD. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 9735 Sw Shady Ln Ste 302, Tigard, OR 97223 Phone: 503-227-3668 Fax: 503-227-2234 | |
Dr. Consuelo Anna Perez, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 9250 Sw Hall Blvd, Tigard, OR 97223 Phone: 503-293-0161 | |
Marsha J Owen, AU.D Audiologist Medicare: Not Enrolled in Medicare Practice Location: 9250 Sw Hall Blvd, Tigard, OR 97223 Phone: 503-293-0161 |