Individual provider Active NPI

Maralyn Dennise Martindale, AUD

  • Audiologist
  • Tigard, OR
National Provider Identifier
1013937275
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
30820 Issued in OR
Practice address
6750 SW Franklin St Ste a
Tigard, OR 97223-2520
Phone
(503) 227-3668
Fax
(503) 227-2234
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 30820 OR Primary

Addresses

Primary practice location

6750 SW Franklin St Ste a
Tigard, OR 97223-2520

Mailing address

6750 SW Franklin St Ste a
Tigard, OR 97223-2520
Phone (503) 227-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250901000356 OR Practitioner - Qualified Audiologist 3375639412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portland Audiology Clinic LLCGroup PAC ID 8022519958, 2 clinicians

Practice addresses (Care Compare)

6750 SW Franklin St
Suite a
Tigard, OR 97223-2520
Phone (503) 227-3668

6750 SW Franklin St a
Tigard, OR 97223-2520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30820ORMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Audiology Clinic, LLC Audiologist CurrentSince Jun 15, 2025 Accepting new patients
Hearx West, LLC Past Accepting new patients
Hearx West Inc Past Accepting new patients

Locations

9735 SW Shady Ln
Ste 302
Tigard, OR 97223

6750 SW Franklin St
Ste A
Tigard, OR 97223
Phone (503) 227-3668

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1013937275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 SW FRANKLIN ST STE A",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232520",
            "telephone_number": "503-227-3668",
            "fax_number": "503-227-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 SW FRANKLIN ST STE A",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232520",
            "telephone_number": "503-227-3668",
            "fax_number": "503-227-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINDALE",
        "first_name": "MARALYN",
        "middle_name": "DENNISE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "30820",
            "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 Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.