Organization Active NPI

Audiology Clinic, Inc.

  • Assistive Technology Supplier Audiologist
  • Vancouver, WA
National Provider Identifier
1306053269
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Supplier AudiologistTaxonomy code 231HA2500X
License
LD00001627 Issued in WA
Legal business name
AUDIOLOGY CLINIC, INC.
Practice address
505 NE 87TH Ave
Suite 150
Vancouver, WA 98664-1989
Phone
(360) 892-9367
Fax
(360) 253-3801
NPI assigned
May 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Nancy M. Bowen, MS-CCC
Title
Vice President
Phone
(360) 892-9367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Supplier AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231HA2500X LD00001627 WA Primary

Addresses

Primary practice location

505 NE 87TH Ave
Suite 150
Vancouver, WA 98664-1989

Mailing address

505 NE 87TH Ave
Suite 150
Vancouver, WA 98664-1989
Phone (360) 892-9367

National Provider Directory

National Provider Directory

Locations

11711 NE 99th St
Ste 930
Vancouver, WA 98682

505 NE 87th Ave
Ste 150
Vancouver, WA 98664
Phone (360) 254-7725

9013 NE Highway 99
Ste 3
Vancouver, WA 98665
Phone (360) 576-1819

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306053269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 NE 87TH AVE",
            "address_2": "SUITE 150",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641989",
            "telephone_number": "360-892-9367",
            "fax_number": "360-253-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 NE 87TH AVE",
            "address_2": "SUITE 150",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641989",
            "telephone_number": "360-892-9367",
            "fax_number": "360-253-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "360-892-9367",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS-CCC"
    },
    "taxonomies": [
        {
            "code": "231HA2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "WA",
            "license": "LD00001627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.