Active NPI
Ray Tangredi, MD LLC
- Addiction Psychiatry Physician
- Clackamas, OR
National Provider Identifier
1275930497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- Legal business name
- RAY TANGREDI, MD LLC
- Doing business as
- MY MULTICARE LLC
- Practice address
- 10121 SE Sunnyside Rd Ste 300
Suite 300
Clackamas, OR 97015-5713 - Phone
- (503) 902-1105
- Fax
- (503) 786-3896
- NPI assigned
- Dec 3, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raymond P Tangredi, MD
- Title
- Ceo
- Phone
- (503) 902-1105
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 2084P0802X | Primary |
Addresses
Primary practice location
10121 SE Sunnyside Rd Ste 300
Suite 300
Clackamas, OR 97015-5713
Mailing address
10121 SE Sunnyside Rd Ste 300
Suite 300
Clackamas, OR 97015-5713
Phone (503) 902-1105
Other names 1
- MY MULTICARE LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1417564800000",
"number": "1275930497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10121 SE SUNNYSIDE RD STE 300",
"address_2": "SUITE 300",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155713",
"telephone_number": "503-902-1105",
"fax_number": "503-786-3896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10121 SE SUNNYSIDE RD STE 300",
"address_2": "SUITE 300",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155713",
"telephone_number": "503-902-1105",
"fax_number": "503-786-3896"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAY TANGREDI, MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-03",
"last_updated": "2014-12-03",
"status": "A",
"authorized_official_last_name": "TANGREDI",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "503-902-1105",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0802X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MY MULTICARE LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.