Wellformed AI

NPI 1699804211 · live from the CMS NPI Registry

Bridgetown Hearing Clinic

Audiologist-Hearing Aid Fitter in Portland, OR. National Provider Identifier 1699804211, active.

NPI record

NPI1699804211 Type 2 · organization
StatusActive
Primary specialtyAudiologist-Hearing Aid Fitter 237600000X
Practice location825 Ne 20th Ave, Suite 230, Portland, OR 97232
Practice phone503-528-6849
EnumeratedMarch 2, 2007
Last updatedSeptember 11, 2025
Authorized officialRenate Hart, Owner-Manager

Taxonomies and licenses

TaxonomyCodeLicense
Audiologist231H00000X—
Audiologist, Assistive Technology Practitioner231HA2400X—
Audiologist, Assistive Technology Supplier231HA2500X—
Audiologist-Hearing Aid Fitter primary237600000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.