DR. AUDREY ELLEN TARR (NPI# 1922110972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922110972 |
Entity Type | Individual |
Full Name | DR. AUDREY ELLEN TARR |
Other Name | AUDREY ELLEN WRIGHT |
Credential | MD |
Practice Address |
1040 Nw 22nd Ave, Suite 600 Portland OR 97210-3041 |
Practice Telephone | 5034135787 |
Practice Fax Number | 5034135788 |
Mailing Telephone | 5034135787 |
Mailing Fax Number | 5034135788 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2019-07-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
MD23494 | OR | Allopathic & Osteopathic Physicians |
N | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
MD00040629 | WA | Allopathic & Osteopathic Physicians |
Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
MD23494 | OR | Allopathic & Osteopathic Physicians |
Street Address |
1040 NW 22ND AVE, SUITE 600 |
City | PORTLAND |
State | OR |
Zip Code | 97210-3041 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
Find all providers in zip 97210 |
Taxonomy Code | 207VF0040X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Female Pelvic Medicine and Reconstructive Surgery |
A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881615102 | Sarah Hamilton Boyles | Obstetrics & Gynecology | 9155 Sw Barnes Rd Ste 735, Portland, OR 97225-6634 | 2006-07-21 |
1346255833 | Mary Anna Denman | Obstetrics & Gynecology | 9155 Sw Barnes Rd Ste 735, Portland, OR 97225-6634 | 2006-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831451079 | Stephen Rogers | Obstetrics & Gynecology | 60500 Arnold Market Rd, Bend, OR 97702-9277 | 2012-06-13 |
1477816049 | Daniel Do Hoon Lee | Obstetrics & Gynecology | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2012-06-19 |
1891712477 | Connie Sue Dimarco | Obstetrics & Gynecology | 2400 Hartman Ln, Springfield, OR 97477-1118 | 2006-07-17 |
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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.