NPIMap

Organization Active NPI

Pacific Northwest Electrology LLC

  • Specialist
  • Tigard, OR
National Provider Identifier
1013644657
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PACIFIC NORTHWEST ELECTROLOGY LLC
Practice address
7405 SW Tech Center Dr Ste A100
Tigard, OR 97223-8056
Phone
(503) 734-7764
NPI assigned
Aug 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Audrey JonesNPI 1700347804
Title
Owner/Electrologist
Phone
(503) 734-7764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

7405 SW Tech Center Dr Ste A100
Tigard, OR 97223-8056

Mailing address

7405 SW Tech Center Dr Ste 100
Tigard, OR 97223-8056
Phone (503) 734-7764

Other practice location 1

18101 SW Boones Ferry Rd Ste 250
Portland, OR 97224-7655
Phone (503) 734-7764

Other practice location 2

11714 NE Crestwood Dr Ste B
Vancouver, WA 98684-5034
Phone (503) 734-7764

Other practice location 3

2612 NE 114th Ave Ste 1
Vancouver, WA 98684-4229
Phone (503) 734-7764

National Provider Directory

National Provider Directory
Tax ID family
Pacific Northwest Electrology LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7405 SW Tech Center Dr
Ste 100
Tigard, OR 97223
Phone (503) 734-7764

7405 SW Tech Center Dr
Ste A100
Tigard, OR 97223
Phone (503) 734-7764

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1013644657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 SW TECH CENTER DR STE 100",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238056",
            "telephone_number": "503-734-7764",
            "fax_number": "503-296-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 SW TECH CENTER DR STE A100",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238056",
            "telephone_number": "503-734-7764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18101 SW Boones Ferry Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972247655",
            "country_code": "US",
            "telephone_number": "503-734-7764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11714 NE Crestwood Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986845034",
            "country_code": "US",
            "telephone_number": "503-734-7764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2612 NE 114th Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986844229",
            "country_code": "US",
            "telephone_number": "503-734-7764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PACIFIC NORTHWEST ELECTROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "OWNER/ELECTROLOGIST",
        "authorized_official_telephone_number": "503-734-7764"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.