OrganizationActive
Pacific Audiology Clinic, LLC
NPI 1114108933 · Audiologist · Portland, OR
Provider details
- NPI number
- 1114108933
- Entity type
- Organization
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Allison Bradley, Owner(503) 284-1906
Specialties & taxonomies
Speech, Language and Hearing Service Providers
- Hearing Aid Equipment332S00000X
Suppliers
Profile Score
Detailed profile(93/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3502 Ne Broadway St
Portland, OR 97232-1821
Phone: (503) 284-1906
Fax: (503) 546-0894
Street-level locationGet directions
Mailing address
3502 Ne Broadway St
Portland, OR 97232-1821
Additional practice locations (1)
- 5200 S Macadam Ave Ste 200Portland, OR 97239-3800Phone: (503) 719-4208Fax: (503) 719-4209
Registry dates
- Enumerated
- 2007-11-20
- Last updated
- 2025-08-01
- Certified
- 2025-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.