Individual provider Active NPI

Luke Weston Hinson, AU.D.

  • Audiologist
  • Portland, OR
National Provider Identifier
1134876709
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
31110 Issued in OR
Practice address
3181 SW Sam Jackson Park Rd
Physicians Pavilion #250
Portland, OR 97239-3011
Phone
(503) 494-8311
NPI assigned
Mar 3, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X LD61267028 WA
Audiologist 231H00000X 31110 OR Primary

Addresses

Primary practice location

3181 SW Sam Jackson Park Rd
Physicians Pavilion #250
Portland, OR 97239-3011

Mailing address

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-5171

Other practice location 1

1801 1st Ave Ste 3A
Longview, WA 98632-3271
Phone (606) 364-4693

Other practice location 2

14411 NE 20th Ave Ste 101
Vancouver, WA 98686-6432
Phone (360) 256-4425

Other practice location 3

417 SE 164th Ave Ste 300
Vancouver, WA 98684-8944
Phone (360) 256-4425

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.peacehealth.org/southwest-medical-center

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240805004231 OR Practitioner - Qualified Audiologist 3476949975 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University Professional Services CurrentSince Aug 1, 2024 Accepting new patients
Oregon Health & Science University CurrentSince Aug 1, 2024 Accepting new patients
Oregon Health & Science University CurrentSince Aug 1, 2024 Accepting new patients
University Professional Services CurrentSince Aug 1, 2024 Accepting new patients
University Professional Services PastSince May 26, 2024 Accepting new patients

Locations

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

3181 SW Sam Jackson Park Rd
#250
Portland, OR 97239
Phone (503) 494-5171

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

Organizations & group practices 6

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": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1134876709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "PHYSICIANS PAVILION #250",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-8311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 1st Ave Ste 3A",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986323271",
            "country_code": "US",
            "telephone_number": "606-364-4693",
            "fax_number": "360-425-4970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14411 NE 20th Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986866432",
            "country_code": "US",
            "telephone_number": "360-256-4425",
            "fax_number": "360-256-2474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "417 SE 164th Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986848944",
            "country_code": "US",
            "telephone_number": "360-256-4425",
            "fax_number": "360-256-2474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINSON",
        "first_name": "LUKE",
        "middle_name": "WESTON",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-03",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD61267028",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "31110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.peacehealth.org/southwest-medical-center",
            "affiliation": "N",
            "endpointDescription": "URL to hospital",
            "address_1": "1801 1st",
            "address_2": "Ste 3A",
            "city": "Longview",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 29, 2024; 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.

Verify at the official NPI Registry.