Active NPI
Evonne N Serpa, AU.D.
- Audiologist
- Portland, OR
National Provider Identifier
1689739575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 22183
- Practice address
- 2030 NE 44TH Ave
Portland, OR 97213-1310 - Phone
- (503) 774-3668
- Fax
- (503) 774-7247
- NPI assigned
- Dec 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | HAS-P-806697 | OR | |
| Audiologist | 231H00000X | 22183 | OR | Primary |
Addresses
Primary practice location
2030 NE 44TH Ave
Portland, OR 97213-1310
Mailing address
2030 NE 44TH Ave
Portland, OR 97213-1310
Phone (503) 774-3668
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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4311 NE Tillamook St
Portland, OR 97213-1315
Phone (503) 774-3668
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22183 | OR | MD | Audiologist |
| HAS-P-806697 | OR | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serpa Audiology, LLC | Audiologist | Current | Accepting new patients |
| Salem Audiology Clinic, Inc | Audiologist | Past | Accepting new patients |
| MLM USA LLC | Audiologist | Past | Accepting new patients |
Locations
2030 NE 44th Ave
Portland, OR 97213
Phone (503) 774-3668
4311 NE Tillamook St
Portland, OR 97213
Phone (503) 774-3668
Organizations & group practices 3
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": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1689739575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2030 NE 44TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972131310",
"telephone_number": "503-774-3668",
"fax_number": "503-774-7247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 NE 44TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972131310",
"telephone_number": "503-774-3668",
"fax_number": "503-774-7247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERPA",
"first_name": "EVONNE",
"middle_name": "N",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "OR",
"license": "HAS-P-806697",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OR",
"license": "22183",
"primary": true
}
],
"identifiers": [],
"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 Jan 5, 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.