Portland Audiology Clinic, LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

License

30820 Issued in OR

Legal business name

PORTLAND AUDIOLOGY CLINIC, LLC

Practice address

6750 SW Franklin St Ste a
Tigard, OR 97223-2520

Phone

(503) 227-3668

Fax

(503) 227-2234

NPI assigned

Aug 3, 2018

Last updated

Jun 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maralyn Dennise Martindale, AUDNPI 1013937275

Title

Owner

Phone

(503) 227-3668

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

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.

• Maralyn Dennise Martindale, AUD

  • Audiologist
  • Tigard, OR
  • NPI 1013937275
  Medicare reassignment Care Compare group NPD Authorized official
• Jacob Michael Beadles, AUD.

  • Audiologist
  • Tigard, OR
  • NPI 1689174963
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1316425010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 SW FRANKLIN ST STE A",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232520",
            "telephone_number": "503-227-3668",
            "fax_number": "503-227-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 SW FRANKLIN ST STE A",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232520",
            "telephone_number": "503-227-3668",
            "fax_number": "503-227-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND AUDIOLOGY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-03",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "MARTINDALE",
        "authorized_official_first_name": "MARALYN",
        "authorized_official_middle_name": "DENNISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-227-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "30820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14284488",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Freya Poller
• Jacob Poole
• Jo Elizabeth Poole
• Marshall Poole
• Beverly Denise Pope
• Portland Clinic (Roger E. Alberty, M.D. Surgical Center)
• Portland Relationship Institute (Counseling Services of Portland)
• Ellen Portrait, RN, IBCLC
• Heather Nicole Post
• Aaron K Potratz, LPC, MA, NCC, CADC-I

• Audiologist in Tigard, OR
• Providers in Tigard, OR by specialty
• Audiologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.