Active NPI
Manuela Ravanelli
- Hearing Instrument Specialist
- Portland, OR
National Provider Identifier
1568182186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HAS-P-10225545
- Practice address
- 11390 SE 82ND Ave Ste 801
Portland, OR 97086-7637 - Phone
- (503) 653-5004
- NPI assigned
- Sep 1, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HAS-P-10225545 | OR | Primary |
Addresses
Primary practice location
11390 SE 82ND Ave Ste 801
Portland, OR 97086-7637
Mailing address
1870 Egan Way
Lake Oswego, OR 97034-2726
Phone (971) 340-6934
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HAS-P-10225545 | OR | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661990400000",
"number": "1568182186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1870 EGAN WAY",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970342726",
"telephone_number": "971-340-6934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11390 SE 82ND AVE STE 801",
"city": "PORTLAND",
"state": "OR",
"postal_code": "970867637",
"telephone_number": "503-653-5004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVANELLI",
"first_name": "MANUELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-01",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "OR",
"license": "HAS-P-10225545",
"primary": true
}
],
"identifiers": [],
"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 Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.