Audiology Center Northwest LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

AUDIOLOGY CENTER NORTHWEST LLC

Practice address

1225 NE 2ND Ave
Portland, OR 97232-2003

Phone

(503) 928-4327

NPI assigned

Nov 24, 2009

Last updated

Nov 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eric Frederick, AUDNPI 1336177138

Title

Owner/Audiologist

Phone

(503) 928-4327

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric J Frederick, AU.D

  • Audiologist
  • Portland, OR
  • NPI 1336177138
  Authorized official Same address or phone

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1073841391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 N VANCOUVER WAY # 236",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972177530",
            "telephone_number": "503-928-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 NE 2ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322003",
            "telephone_number": "503-928-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY CENTER NORTHWEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "503-928-4327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dylan Aubrejuan
• Charlyn Alicia Aubrey, LPC INTERN, MS
• Christina Maria Auburn
• Abby Auch, LMT, MSW
• Laurel Auda-Capel
• Claire Rebecca Audley
• Audra Erickson, LMT
• Clare Ashley Audrain, RN
• Audrey Czerew, Msaom, L.Ac. LLC
• Misty Auel

• Hearing and Speech Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Hearing and Speech Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.