Active NPI
Alice Kuang, AUD
- Audiologist
- Portland, OR
National Provider Identifier
1285278127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 31017
- Practice address
- 5050 NE Hoyt St Ste 655
Portland, OR 97213-2990 - Phone
- (503) 488-2400
- Fax
- (503) 231-0121
- NPI assigned
- Nov 4, 2019
- 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 | 3427 | CA | |
| Audiologist | 231H00000X | 31017 | OR | Primary |
Addresses
Primary practice location
5050 NE Hoyt St Ste 655
Portland, OR 97213-2990
Mailing address
847 NE 19TH Ave Ste 300
Portland, OR 97232-2686
Phone (503) 963-2801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500803312 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | referringpent@orclinic.direct-ci.net | The Oregon Clinic PC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5050 NE Hoyt
Suite 655
Portland, OR 97213-2990
Phone (503) 239-6673
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3427 | CA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Oregon Clinic PC | Current | Accepting new patients | |
| The Oregon Clinic, PC | Current | Accepting new patients |
Locations
847 NE 19th Ave
Ste 300
Portland, OR 97232
5050 NE Hoyt St
Ste 655
Portland, OR 97213
Phone (503) 239-6673
Organizations & group practices 2
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.
-
- Specialist
- Portland, OR
- NPI 1265417174
-
- Durable Medical Equipment & Medical Supplies
- Portland, OR
- NPI 1346105129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1285278127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "847 NE 19TH AVE STE 300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322686",
"telephone_number": "503-963-2801",
"fax_number": "503-963-2825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 NE HOYT ST STE 655",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972132990",
"telephone_number": "503-488-2400",
"fax_number": "503-231-0121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUANG",
"first_name": "ALICE",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-04",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "3427",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OR",
"license": "31017",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500803312",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "referringpent@orclinic.direct-ci.net",
"affiliation": "Y",
"affiliationName": "The Oregon Clinic PC",
"address_1": "5050 NE Hoyt St Ste 655",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972132990",
"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 Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.