Individual provider Active NPI

Elisabeth Y Carter, AU.D.

  • Audiologist
  • Portland, OR
National Provider Identifier
1417070848
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
20800 Issued in OR
Practice address
2222 NW Lovejoy St Ste 622
Portland, OR 97210-5104
Phone
(503) 229-8455
Fax
(503) 229-7028
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 20800 OR
Audiologist 231H00000X 20800 OR Primary

Addresses

Primary practice location

2222 NW Lovejoy St Ste 622
Portland, OR 97210-5104

Mailing address

847 NE 19TH Ave Ste 300
Portland, OR 97232-2686
Phone (503) 963-2801

Other practice location 1

3857 Wolverine St NE
Building C, Suite 16
Salem, OR 97305-4270
Phone (503) 588-1039

Other practice location 2

501 N Graham St Ste 350
Portland, OR 97227-2005
Phone (503) 445-9860

Other practice location 3

3857 Wolverine St NE
Building C, Suite 16
Salem, OR 97305-4270
Phone (503) 588-1039

Other identifiers 2

IdentifierTypeStateIssuer
2095218MedicaidWA
009303MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20800ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MLM USA LLC Audiologist PastSince Aug 14, 2025 Accepting new patients

Organizations & group practices 1

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1417070848",
    "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": "2222 NW LOVEJOY ST STE 622",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105104",
            "telephone_number": "503-229-8455",
            "fax_number": "503-229-7028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3857 Wolverine St NE",
            "address_2": "Building C, Suite 16",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973054270",
            "country_code": "US",
            "telephone_number": "503-588-1039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 N Graham St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972272005",
            "country_code": "US",
            "telephone_number": "503-445-9860",
            "fax_number": "503-517-0639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3857 Wolverine St NE",
            "address_2": "Building C, Suite 16",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973054270",
            "country_code": "US",
            "telephone_number": "503-588-1039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "ELISABETH",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OR",
            "license": "20800",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "20800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2095218",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009303",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "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 17, 2018; 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.