Active NPI
Charles Inman, BC-HIS
- Hearing Instrument Specialist
- Portland, OR
National Provider Identifier
1609991256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HAS-P-432497
- Practice address
- 1939 E Burnside St
Portland, OR 97214-1535 - Phone
- (503) 233-6141
- Fax
- (503) 233-2889
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HA00002263 | WA | |
| Hearing Instrument Specialist | 237700000X | HAS-P-432497 | OR | Primary |
Addresses
Primary practice location
1939 E Burnside St
Portland, OR 97214-1535
Mailing address
1939 E Burnside St
Portland, OR 97214-1535
Phone (503) 233-6141
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9178104 | Medicaid | WA | |
| 212936 | Medicaid | OR | |
| 2432417000 | Other | FEDERAL WORKERS' COMP |
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-432497 | OR | MD | Hearing Instrument Specialist |
| HA00002263 | WA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willoughby Hearing Aid Centers | Past | 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.
-
- Hearing Aid Equipment
- Albany, OR
- NPI 1740301563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609991256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1939 E BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141535",
"telephone_number": "503-233-6141",
"fax_number": "503-233-2889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1939 E BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141535",
"telephone_number": "503-233-6141",
"fax_number": "503-233-2889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INMAN",
"first_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "BC-HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "WA",
"license": "HA00002263",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "OR",
"license": "HAS-P-432497",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9178104",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "212936",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL WORKERS' COMP",
"identifier": "2432417000",
"state": null
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.