Active NPI
Columbia Regional Program-Audiology
- Audiologist
- Portland, OR
National Provider Identifier
1275778235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- COLUMBIA REGIONAL PROGRAM-AUDIOLOGY
- Practice address
- 833 NE 74TH Ave
Portland, OR 97213-6232 - Phone
- (503) 916-5570
- Fax
- (503) 916-2750
- NPI assigned
- Dec 4, 2008
- Last updated
- Dec 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jay Genze
- Title
- Director
- Phone
- (503) 916-5570
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | NU | Primary | |
| Assistive Technology Supplier Audiologist | 231HA2500X | NU | ||
| Audiologist-Hearing Aid Fitter | 237600000X | NU | ||
| Hearing Instrument Specialist | 237700000X | NU |
Addresses
Primary practice location
833 NE 74TH Ave
Portland, OR 97213-6232
Mailing address
833 NE 74TH Ave
Portland, OR 97213-6232
Phone (503) 916-5570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130293 | Medicaid | OR |
Other names 1
- Portland Public School
National Provider Directory
National Provider DirectoryLocations
833 NE 74th Ave
Portland, OR 97213
Phone (503) 916-5570
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Audiologist
- Portland, OR
- NPI 1881062214
-
- Audiologist
- Portland, OR
- NPI 1265589857
-
- Audiologist
- Portland, OR
- NPI 1629125216
-
- Audiologist
- Portland, OR
- NPI 1043688203
-
- Audiologist
- Portland, OR
- NPI 1508233966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228348800000",
"number": "1275778235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 NE 74TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972136232",
"telephone_number": "503-916-5570",
"fax_number": "503-916-2750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 NE 74TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972136232",
"telephone_number": "503-916-5570",
"fax_number": "503-916-2750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLUMBIA REGIONAL PROGRAM-AUDIOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-04",
"last_updated": "2008-12-04",
"status": "A",
"authorized_official_last_name": "GENZE",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "503-916-5570"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130293",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Portland Public School",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Portland, OR
- Columbia Neurosurgical Trauma, LLC
- Columbia Optical Co.
- Columbia Orthopaedic Associates PC
- Columbia Park Oral Surgery PC
- Columbia Pharmacy LLC
- Columbia River Correctional Institution
- Columbia River Surgery Center LLC
- Columbia Sleep Services
- Columbia Square Dental LLC (Green Apple Dental)
- Columbia-Inland Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.