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SARA FUNATAKE AUD
NPI 1144678814
Audiologist in Portland, OR

Active since June 02, 2016
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-5171(503) 494-4631 Get Directions Write a Review

NPPES record last updated: January 18, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sara Funatake Aud NPPES

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

SARA FUNATAKE AUD (NPI 1144678814) is an individual audiologist in Portland, Oregon, licensed in Oregon (030852) and active in the NPI registry since June 2016. She maintains a secondary practice location in Vancouver.

NPPES Registry Identity

NPI1144678814
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameSARA FUNATAKECredential: AUD
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011 · (503) 494-5171 · Fax (503) 494-4631
Phone(503) 494-5171
Fax(503) 494-4631
Sole ProprietorNo
Enumeration DateJune 2, 2016
Last NPPES UpdateJanuary 18, 2018
✔ NPI 1144678814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in OR · 030852
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.
3181 SW SAM JACKSON PARK RD, Portland, OR 97239
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Secondary Practice Location 1

Location 11115 SE 164th AveVancouver, WA 98683-9324 · Phone (360) 729-1412

Other Identifiers 1

Other030852OR · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sara Funatake Aud is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Sara Funatake reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oregon Health & Science University
0.1 mi
General Acute Care Hospital
3181 SW SAM JACKSON PARK RD
Portland, OR 97239
  • Reassigned Medicare billing, Oregon enrollment
  • 78 clinicians in this Medicare group
NPI 1609824010 (503) 494-8744
University Professional Services
0.1 mi
General Practice
3181 SW SAM JACKSON PARK RD
Portland, OR 97239
  • Reassigned Medicare billing, Oregon enrollment
  • 2,212 clinicians in this Medicare group
NPI 1376709535 (503) 494-8311

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONALD RICHARD SULLIVAN MD
Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Multnomah County (503) 494-6949
MRS. ANJALEE NIX ROWE NP
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-3988
REEM HASAN MD
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Multnomah County (503) 494-8562
DR. AMANDA D BALL PSY.D
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
SUNSHINE WELSCH LMT
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Multnomah County (503) 494-8349
DR. ROBERT GENE MEALER M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
GREGORY HALL MD
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 418-0990
DR. BURHAN AHMED MIAN MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-8311

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 Sara Funatake's NPI number?

The NPI number for Sara Funatake is 1144678814. It was assigned to this individual provider in the NPPES registry on June 2, 2016.

Where is Sara Funatake located?

Sara Funatake practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-5171.

What is Sara Funatake's specialty?

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

Is Sara Funatake enrolled in Medicare?

Yes. Sara Funatake is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sara Funatake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Funatake reassigns Medicare benefits to 2 organizations: Oregon Health & Science University (Portland, OR) and University Professional Services (Portland, OR). Each 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 Sara Funatake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sara Funatake accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Sara Funatake 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 Sara Funatake was last updated on January 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.