NPIMap

Organization Active NPI

Hearing Rehab Center

  • Audiologist
  • Lake Oswego, OR
National Provider Identifier
1114267101
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
HEARING REHAB CENTER
Practice address
16699 Boones Ferry Rd
#110
Lake Oswego, OR 97035-4366
Phone
(303) 984-4414
NPI assigned
Feb 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Authorized official

Name
Jeffrey Wilken, AU.D.
Title
Managing Partner
Phone
(303) 984-4414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

16699 Boones Ferry Rd
#110
Lake Oswego, OR 97035-4366

Mailing address

16699 Boones Ferry Rd
#110
Lake Oswego, OR 97035
Phone (303) 984-4414

National Provider Directory

National Provider Directory
Tax ID family
Hearing Rehab Center2 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

16699 Boones Ferry Rd
Ste 110
Lake Oswego, OR 97035
Phone (503) 636-4014

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1114267101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16699 BOONES FERRY RD",
            "address_2": "#110",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "97035",
            "telephone_number": "303-984-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16699 BOONES FERRY RD",
            "address_2": "#110",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354366",
            "telephone_number": "303-984-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARING REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "WILKEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "303-984-4414",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.