PACIFIC AUDIOLOGY CLINIC, LLC
NPI 1114108933
Audiologist in Portland, OR

Active since November 20, 2007
3502 NE BROADWAY ST, PORTLAND, OR 97232(503) 284-1906(503) 546-0894 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pacific Audiology Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC AUDIOLOGY CLINIC, LLC (NPI 1114108933) is a healthcare organization registered as an audiologist in Portland, Oregon and active in the NPI registry since November 2007. The organization maintains a secondary practice location in Portland and lists Allison Elizabeth Bradley, Owner, as its authorized official.

NPPES Registry Identity

NPI1114108933
Entity TypeOrganization
Primary Taxonomy231H00000X
Legal Business NamePACIFIC AUDIOLOGY CLINIC, LLC
Location Address3502 NE BROADWAY STPortland, OR 97232-1821
Mailing Address3502 Ne Broadway StPortland, OR 97232-1821 · (503) 284-1906 · Fax (503) 546-0894
Fax(503) 546-0894
Organization SubpartNo
Authorized OfficialAllison Elizabeth BradleyOwner · (503) 284-1906
Enumeration DateNovember 20, 2007
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
✔ NPI 1114108933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
Also ListedHearing Aid EquipmentTaxonomy 332S00000X
3502 NE BROADWAY ST, Portland, OR 97232

Secondary Practice Location 1

Location 15200 S MacAdam Ave Ste 200Portland, OR 97239-3800 · Phone (503) 719-4208 · Fax (503) 719-4209

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pacific Audiology Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Pacific Audiology Clinic, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Qualified Audiologist
NPI 1093936619
3502 NE BROADWAY ST
Portland, OR 97232
(503) 284-1906
✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1316660491
3502 NE BROADWAY ST
Portland, OR 97232
(503) 914-4383
✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1982328423
2222 NW LOVEJOY ST STE 607
Portland, OR 97210
(503) 222-3638
✔ Accepts Medicare3.4 mi
Qualified Audiologist
NPI 1366123770
1008 N 7TH AVE STE H
Bozeman, MT 59715
(406) 586-0914
✔ Accepts Medicare561 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Audiology Clinic, LLC's NPI number?

The NPI number for Pacific Audiology Clinic, LLC is 1114108933. It was assigned to this organization in the NPPES registry on November 20, 2007.

Where is Pacific Audiology Clinic, LLC located?

Pacific Audiology Clinic, LLC is located at 3502 NE Broadway St, Portland, OR 97232. The listed phone number is (503) 284-1906.

What is Pacific Audiology Clinic, LLC's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Pacific Audiology Clinic, LLC enrolled in Medicare?

Yes. Pacific Audiology Clinic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pacific Audiology Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Qualified Audiologist, reassign their Medicare billing to Pacific Audiology Clinic, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pacific Audiology Clinic, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Pacific Audiology Clinic, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pacific Audiology Clinic, LLC was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.