Andrew Jason Trego, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

04-21396 Issued in KS

Practice address

1414 NW Northrup St Ste 800
Portland, OR 97209-2790

Phone

(503) 414-5599

Fax

(503) 414-5554

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chemawa Indian Health Center DHHS IHS Western Oregon Serv Unit

  • Multi-Specialty Clinic/Center
  • Salem, OR
  • NPI 1578565347

  TX

  Medicare reassignment NPD
• David C Wynecoop Memorial Clinic DHHS IHS Wellpinit Service Unit

  • Clinic/Center
  • Wellpinit, WA
  • NPI 1316034580

  TX

  Medicare reassignment NPD
• DHHS IHS Colville Service Unit

  • Clinic/Center
  • Nespelem, WA
  • NPI 1811091911

  TX

  Medicare reassignment NPD
• Omak Tribal Health Clinic

  • Clinic/Center
  • Omak, WA
  • NPI 1639210370

  TX

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1053439331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1852",
            "city": "THOMPSON FALLS",
            "state": "MT",
            "postal_code": "598731852",
            "telephone_number": "571-318-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 NW NORTHRUP ST STE 800",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092790",
            "telephone_number": "503-414-5599",
            "fax_number": "503-414-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREGO",
        "first_name": "ANDREW",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-21396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ihs.gov",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure FAX",
            "address_1": "1414 NW Northrup St Ste 800",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972092790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Treece, LPN
• Treehouse NW Inc
• Judy Treehouse, LMT
• Gabriel V Trees
• Tracy Trefethen
• Hannah Tregoning
• Tyler Matthew Treharne, PHARMACIST
• Timothy James Treible, MD
• Shelby Treick
• Andrew Treister, MD

• Internal Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.