TYRON TRACY (NPI# 1295176923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295176923 |
| Entity Type | Individual |
| Full Name | TYRON TRACY |
| Credential | PA-C |
| Practice Address |
728 Molalla Ave Ste A&b Oregon City OR 97045-2799 |
| Mailing Address |
7320 Sw Hunziker Rd Ste 300 Portland OR 97223-2302 |
| Practice Telephone | 5036569030 |
| Mailing Telephone | 5039413033 |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2020-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA170039 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500683842 | 05 |
| Street Address |
728 MOLALLA AVE STE A&B |
| City | OREGON CITY |
| State | OR |
| Zip Code | 97045-2799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922209832 | Oregon City Medical Nw Inc. | Clinic/Center | 728 Molalla Ave Ste A&b, Oregon City, OR 97045-2799 | 2007-05-29 |
| 1699943167 | Oregon City Medical | Family Medicine | 728 Molalla Ave Ste A&b, Oregon City, OR 97045-2799 | 2008-02-18 |
| 1730372905 | Juliana Ifeyinwa Ogbeama | Nurse Practitioner | 728 Molalla Ave Ste A&b, Oregon City, OR 97045-2799 | 2007-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528625621 | Dylan Wile | Physical Therapist | 19721 Or 213, Oregon City, OR 97045 | 2019-05-23 |
| 1952871576 | April Saylor | Dental Hygienist | 15530 S. Morel Dr, Oregon City, OR 97045 | 2018-11-27 |
| 1598251688 | Sara Noelle Wetten | Dental Assistant | 1900 Mclouglin Blvd #68, Oregon City, OR 97045 | 2018-07-02 |
| 1649761941 | Carol Ann Cranfill | Specialist | 1001 Molalla Ave. Ste 206, Oregon City, OR 97045 | 2018-05-22 |
| 1790286029 | Kathleen Walker | Registered Nurse | 110 Beaverceek Rd., Oregon City, OR 97045 | 2018-02-22 |
| 1174032429 | Amanda Brannin | Dental Hygienist | 15018 Pebble Beach Dr, Oregon City, OR 97045 | 2017-09-28 |
| 1003332669 | Clackamas Medical Supplies | Durable Medical Equipment & Medical Supplies | 2050 Beavercreek Rd. Ste 101-385, Oregon, OR 97045 | 2017-08-16 |
| 1154870129 | Staci S Meador | Nurse Practitioner | 1508 Division St Ste 200, Oregon City, OR 97045 | 2016-10-01 |
| 1821541939 | Samuel R. Sabo | General Practice | 18171 Waldow Rd., Oregon City, OR 97045 | 2016-07-26 |
| 1619339967 | Carly Chambers | Physical Therapist | 1630 S Beavercreeak Rd, Suite A, Oregon City, OR 97045 | 2016-03-25 |
| Find all providers in zip 97045 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356312425 | Michael G Garland | Physician Assistant | 1508 Division St Ste 105, Oregon City, OR 97045-1584 | 2006-01-27 |
| 1982196846 | Thomas Cole Willson Hilliard | Physician Assistant | 1508 Division St Ste 105, Oregon City, OR 97045-1584 | 2018-06-05 |
| 1457809550 | Stephanie Bertrand | Physician Assistant | 1508 Division St Ste 105, Oregon City, OR 97045-1584 | 2016-09-17 |
| 1679805766 | Erin Jamie Van Dyke | Physician Assistant | 1508 Division St, Suite 105, Oregon City, OR 97045-1582 | 2010-02-01 |
| 1386895522 | Sarah Jean Baptiste | Physician Assistant | 1508 Division St, Suite 105, Oregon City, OR 97045-1582 | 2008-10-07 |
| 1184874349 | David C Emch | Physician Assistant | 1508 Division St Ste 105, Oregon City, OR 97045-1584 | 2008-09-24 |
| 1528100864 | John Dean Boyle | Physician Assistant | 1508 Division St, Suite 105, Oregon City, OR 97045-1582 | 2007-02-13 |
| 1144309170 | Tessa J Molter | Physician Assistant | 1508 Division St Ste 105, Oregon City, OR 97045-1584 | 2006-11-02 |
| 1083635916 | Kenneth Lee Reckard | Physician Assistant | 1508 Division St, Ste 15, Oregon City, OR 97045-1582 | 2006-07-23 |
| 1336171578 | Karen E Lutt | Physician Assistant | 1508 Division St, Suite 105, Oregon City, OR 97045-1582 | 2006-07-07 |
| Find all providers in OREGON CITY | ||||
| City | OREGON CITY |
| Zip Code | 97045 |
Please comment or provide details below to improve the information on TYRON TRACY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.