Organization
PORTLAND AUDIOLOGY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARALYN DENNISE MARTINDALE AUD (OWNER)
(503) 227-3668
Entity
Organization
Contact information
Practice address
6750 SW FRANKLIN ST STE A, TIGARD, OR 97223-2520
(503) 227-3668
(503) 227-2234
Mailing address
6750 SW FRANKLIN ST STE A, TIGARD, OR 97223-2520
(503) 227-3668
(503) 227-2234
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
30820
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14284488
CAQH
—
Enumeration date
08/03/2018
Last updated
06/02/2025
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