Active NPI
Patricia Lee Fletter, AU.D, CCC-A
- Audiologist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 22496
- Practice address
- 2230 NW Pettygrove St
Ste 120
Portland, OR 97210-2659 - Phone
- (503) 444-7676
- Fax
- (971) 319-6647
- NPI assigned
- Jun 11, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 22496 | OR | Primary |
| Hearing Instrument Specialist | 237700000X | HAS-P-388467 | OR |
Addresses
Primary practice location
2230 NW Pettygrove St
Ste 120
Portland, OR 97210-2659
Mailing address
2230 NW Pettygrove St
Ste 120
Portland, OR 97210-2659
Phone (503) 444-7676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22496 | OR | MD | Audiologist |
| HAS-P-388467 | OR | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Northwest Ear Institute PC | Past | Accepting new patients | |
| Willamette Ear Nose & Throat LLP | Past | Accepting new patients |
Locations
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
500 NE Multnomah St
Fl 11
Portland, OR 97232
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
Interoperability endpoints
- https://api.platform.athenahealth.com/12838/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
WA
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
-
- Otology & Neurotology Physician
- Portland, OR
- NPI 1841674280
-
- Specialist
- Salem, OR
- NPI 1184821043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1124288386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 NW PETTYGROVE ST",
"address_2": "STE 120",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102659",
"telephone_number": "503-444-7676",
"fax_number": "971-319-6647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 NW PETTYGROVE ST",
"address_2": "STE 120",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102659",
"telephone_number": "503-444-7676",
"fax_number": "971-319-6647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETTER",
"first_name": "PATRICIA",
"middle_name": "LEE",
"credential": "AU.D, CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-11",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OR",
"license": "22496",
"primary": true
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "OR",
"license": "HAS-P-388467",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.