Serena Amber-Nelle Shafer, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

22815 Issued in OR

Practice address

10151 SE Sunnyside Rd Ste 240
Clackamas, OR 97015-5774

Phone

(503) 233-5548

Fax

(866) 663-1070

NPI assigned

Aug 27, 2007

Last updated

Apr 7, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastmoreland Ear, Nose and Throat, Clinic, LLPGroup PAC ID 5799758785, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: serena.shafer.1@954.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eastmoreland Ear, Nose & Throat, Clinic, LLP

  dba Mt. Scott Ear, Nose and Throat

  • Otolaryngology/Facial Plastic Surgery Physician
  • Clackamas, OR
  • NPI 1386754398
  Medicare reassignment Care Compare group NPD
• Salem Audiology Clinic, Inc

  • Hearing Instrument Specialist
  • Salem, OR
  • NPI 1629012745

  Audiologist

  NPD (past)
• MLM USA LLC

  dba Beltone Hearing

  • Hearing Aid Equipment
  • Glen Ellyn, IL
  • NPI 1346028404

  Audiologist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1679766208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10151 SE SUNNYSIDE RD STE 240",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155774",
            "telephone_number": "503-233-5548",
            "fax_number": "866-663-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 SE SUNNYSIDE RD STE 240",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155774",
            "telephone_number": "503-233-5548",
            "fax_number": "866-663-1070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1675 SW Marlow Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972255102",
            "country_code": "US",
            "telephone_number": "503-802-5273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9250 SW Hall Blvd",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "97223",
            "country_code": "US",
            "telephone_number": "503-293-0161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9155 SW Barnes Rd Ste 536",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972256785",
            "country_code": "US",
            "telephone_number": "503-935-8100",
            "fax_number": "503-935-8110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "SERENA",
        "middle_name": "AMBER-NELLE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "22815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2103468",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241546",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Sevcech
• Karen Kelli Severson, OCCUPATIONAL THERAPI
• Shai Sewell, DPT
• Jessica Dawn Sexton-Dorsett
• Jill M Shaddy
• Ankur Shah, MD, PH.D.
• Ketki Girish Shah, PHD
• Rupa Kirit Shah, MD
• Parsa Shahinpoor, MD
• Mada Shami

• Audiologist in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Audiologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.