Individual provider Active NPI

Bryan James Greenaway, AU.D.

  • Audiologist
  • Gresham, OR
National Provider Identifier
1629476825
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
30954 Issued in OR
Practice address
7445 SE 282ND Ave
Gresham, OR 97080-8218
Phone
(503) 395-0182
Fax
(971) 356-0899
NPI assigned
Dec 21, 2014
Reactivated
Sep 5, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 30954 OR Primary
Audiologist-Hearing Aid Fitter 237600000X 030954 OR

Addresses

Primary practice location

7445 SE 282ND Ave
Gresham, OR 97080-8218

Mailing address

4207 SE Woodstock Blvd Ste 202
Portland, OR 97206-6267
Phone (503) 395-0182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200406000045 OR Practitioner - Qualified Audiologist 4183053606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific UniversityGroup PAC ID 0345144705, 30 clinicians

Practice addresses (Care Compare)

333 SE 7TH Ave
4150 Pacific Earclinic
Hillsboro, OR 97123-4157
Phone (503) 352-2692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sono Audiology, LLC Current Accepting new patients
MLM USA LLC Audiologist CurrentSince Aug 14, 2025 Accepting new patients
Pacific University Audiologist-Hearing Aid Fitter CurrentSince Sep 13, 2021 Accepting new patients
Pacific University CurrentSince Sep 13, 2021 Accepting new patients
Pacific University Current Accepting new patients
Salem Audiology Clinic, Inc Audiologist CurrentSince Sep 5, 2019 Accepting new patients

Locations

2043 College Way
Forest Grove, OR 97116
Phone (503) 352-2020

222 SE 8th Ave
Ste 114
Hillsboro, OR 97123
Phone (503) 352-7300

333 SE 7th Ave
Ste 4150
Hillsboro, OR 97123
Phone (503) 352-2661

333 SE 7th Ave
#4150
Hillsboro, OR 97123
Phone (503) 352-2692

4207 SE Woodstock Blvd
Portland, OR 97206
Phone (503) 312-6005

2521 Boone Rd SE
Ste 120
Salem, OR 97306
Phone (971) 701-6322

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

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

1301 Evergreen Rd
Ste E
Woodburn, OR 97071
Phone (503) 981-8575

Organizations & group practices 6

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": "1419120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1629476825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 SE WOODSTOCK BLVD STE 202",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972066267",
            "telephone_number": "503-395-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7445 SE 282ND AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970808218",
            "telephone_number": "503-395-0182",
            "fax_number": "971-356-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENAWAY",
        "first_name": "BRYAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-21",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "deactivation_date": "2019-08-26",
        "reactivation_date": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "30954",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OR",
            "license": "030954",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.