Active NPI
Jacob Michael Beadles, AUD.
- Audiologist
- Tigard, OR
National Provider Identifier
1689174963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 030904
- Practice address
- 6750 SW Franklin St Ste a
Tigard, OR 97223-2520 - Phone
- (503) 227-3668
- Fax
- (503) 227-2234
- NPI assigned
- Feb 13, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 030904 | OR | Primary |
Addresses
Primary practice location
6750 SW Franklin St Ste a
Tigard, OR 97223-2520
Mailing address
6750 SW Franklin St Ste a
Tigard, OR 97223-2520
Phone (503) 227-3668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6750 SW Franklin St
Suite a
Tigard, OR 97223-2520
Phone (503) 227-3668
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Audiology Clinic, LLC | Audiologist | Current | Accepting new patients |
Locations
6750 SW Franklin St
Ste A
Tigard, OR 97223
Phone (503) 227-3668
9735 SW Shady Ln
Ste 302
Tigard, OR 97223
Organizations & group practices 2
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.
-
- Audiologist
- Tigard, OR
- NPI 1316425010
-
- Specialist
- Portland, OR
- NPI 1265417174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1689174963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6750 SW FRANKLIN ST STE A",
"city": "TIGARD",
"state": "OR",
"postal_code": "972232520",
"telephone_number": "503-227-3668",
"fax_number": "503-227-2234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6750 SW FRANKLIN ST STE A",
"city": "TIGARD",
"state": "OR",
"postal_code": "972232520",
"telephone_number": "503-227-3668",
"fax_number": "503-227-2234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEADLES",
"first_name": "JACOB",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "AUD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-13",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OR",
"license": "030904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.