Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kimberly Catherine Nieblas, AUD

Individual provider Audiologist · NPI 1396522504

Dr. Kimberly Catherine Nieblas, AUD is a Qualified Audiologist in Portland, Oregon. Qualified in 2023, 3 years ago. Practices with Pdx ENT and Audiology Medical Group PC, an 8-clinician group and works from 2 locations. Licensed in Oregon.

Years since qualifying
3
Licensed in
OR
In the registry since
2023
What do these letters mean?
AUD — Doctor of Audiology
A hearing specialist who tests hearing and fits hearing aids.

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Practice location Address checks out

2222 NW Lovejoy St Ste 607
Portland, OR 97210-5104
Phone: (503) 222-3638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17895 Nw Evergreen Pkwy Ste 130, Beaverton, OR 97006-7402 — (503) 222-3638

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 31089 (OR)

Record details

NPI number1396522504
Entity typeIndividual (Type 1)
GenderFemale
Credentials AUD
Sole proprietorNo
NPI enumeratedSeptember 11, 2023
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Pdx Ent And Audiology Medical Group Pc — 8 clinicians
Accepts Medicare assignment Not indicated

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