- Practice location
- 6750 SW Franklin St Ste A, Tigard, OR 97223-2520
- Phone
- 503-227-3668
- Fax
- 503-227-2234
- Last updated
- July 21, 2025
Jacob Michael Beadles is an Audiologist based in Tigard, OR. Jacob Michael Beadles practices in Tigard, OR and has the professional credentials of AUD. The NPI Number for Jacob Michael Beadles is 1689174963 and holds a License No. 030904 (OR). The current practice location address for Jacob Michael Beadles is 6750 SW Franklin St Ste A, Tigard, OR 97223-2520 and can be reached out via phone at 503-227-3668 and via fax at 503-227-2234.
Provider Profile Details
- NPI Number
- 1689174963
- Provider Name
- Jacob Michael Beadles
- Credential
- AUD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 6750 SW Franklin St Ste A, Tigard, OR 97223-2520
- Phone Number
- 503-227-3668
- Fax Number
- 503-227-2234
- Primary Taxonomy
- Audiologist · 231H00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 13, 2018
- Last Update Date
- July 21, 2025
- Certification Date
- July 21, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6750 SW Franklin St Ste A
Tigard, OR 97223-2520 - City
- Tigard
- State
- Oregon
- Zip
- 97223-2520
- Phone Number
- 503-227-3668
- Fax Number
- 503-227-2234
Provider Business Mailing Address Details
- Address
- 6750 SW Franklin St Ste A
Tigard, OR 97223-2520 - City
- Tigard
- State
- OR
- Zip
- 97223-2520
- Phone Number
- 503-227-3668
- Fax Number
- 503-227-2234
License Information
- License Number
- 030904
- License State
- OR
- Taxonomy
- Audiologist · 231H00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Jacob M Beadles, AUD?
The NPI number of Mr. Jacob M Beadles, AUD is 1689174963. It was assigned on February 13, 2018 and is currently active in the NPPES registry.
What is the specialty of Mr. Jacob M Beadles, AUD?
Mr. Jacob M Beadles, AUD is registered under the primary taxonomy Audiologist (code 231H00000X), licensed in OR under license number 030904.
Where does Mr. Jacob M Beadles, AUD practice?
The practice location is 6750 SW Franklin St Ste A, Tigard, OR 97223-2520. The office can be reached at 503-227-3668 (phone) or 503-227-2234 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689174963 directly on the NPPES registry website.