NPI 1629476825 · live from the CMS NPI Registry
Bryan James Greenaway, Au.D.
Audiologist in Gresham, OR. National Provider Identifier 1629476825, active.
NPI record
| NPI | 1629476825 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 7445 Se 282nd Ave, Gresham, OR 97080 |
| Practice phone | 503-395-0182 |
| Mailing address | 4207 Se Woodstock Blvd Ste 202, Portland, OR 97206 |
| Enumerated | December 21, 2014 |
| Last updated | September 28, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 30954 (OR) |
| Audiologist-Hearing Aid Fitter | 237600000X | 030954 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.