NPI 1689174963 · live from the CMS NPI Registry
Jacob Michael Beadles, AuD.
Audiologist in Tigard, OR. National Provider Identifier 1689174963, active.
NPI record
| NPI | 1689174963 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 6750 Sw Franklin St Ste A, Tigard, OR 97223 |
| Practice phone | 503-227-3668 |
| Enumerated | February 13, 2018 |
| Last updated | July 21, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 030904 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.