Individual provider Active NPI

Joshua Willem Pluim, AUD

  • Audiologist
  • Clackamas, OR
National Provider Identifier
1669959524
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
030924 Issued in OR
Practice address
9280 SE Sunnybrook Blvd Ste 300
Clackamas, OR 97015-9353
Phone
(503) 233-5548
NPI assigned
Jul 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 030924 OR Primary

Addresses

Primary practice location

9280 SE Sunnybrook Blvd Ste 300
Clackamas, OR 97015-9353

Mailing address

9280 SE Sunnybrook Blvd Ste 300
Clackamas, OR 97015-9353
Phone (503) 233-5548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181005000914 OR Practitioner - Qualified Audiologist 8022360825 Reassigns benefits to 2 organizations
I20240507004214 WA Practitioner - Qualified Audiologist 8022360825 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030924ORMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Northwest CurrentSince May 23, 2022 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Current Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince May 23, 2022 Accepting new patients
Eastmoreland Ear, Nose & Throat, Clinic, LLP CurrentSince Jul 25, 2018 Accepting new patients

Locations

9900 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-8240

9280 SE Sunnybrook Blvd
Ste 300
Clackamas, OR 97015
Phone (503) 233-5548

10151 SE Sunnyside Rd
Ste 240
Clackamas, OR 97015
Phone (503) 233-5548

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

500 NE Multnomah St
Fl 11
Portland, OR 97232

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

14406 NE 20th Ave
Vancouver, WA 98686
Phone (360) 418-6001

Organizations & group practices 4

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": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1669959524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9280 SE SUNNYBROOK BLVD STE 300",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159353",
            "telephone_number": "503-233-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9280 SE SUNNYBROOK BLVD STE 300",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159353",
            "telephone_number": "503-233-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUIM",
        "first_name": "JOSHUA",
        "middle_name": "WILLEM",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "030924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.