Tyron Tracy, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA170039 Issued in OR

Practice address

4915 SW Griffith Dr Ste 304
Beaverton, OR 97005-2933

Phone

(503) 620-5614

Fax

(503) 598-4688

NPI assigned

Jul 10, 2013

Last updated

Nov 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PDX Allergy LLCGroup PAC ID 8224458062, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PDX Allergy LLC

  • Allergy & Immunology Physician
  • Clackamas, OR
  • NPI 1447874367
  Medicare reassignment Care Compare group NPD
• Aaim Care LLC

  dba Columbia Asthma and Allergy Clinic

  • Multi-Specialty Clinic/Center
  • Portland, OR
  • NPI 1184804064
  NPD
• Neighborhood Health Center

  • Federally Qualified Health Center (FQHC)
  • Milwaukie, OR
  • NPI 1083984264
  NPD (past)
• Neighborhood Health Center

  dba NHC Oregon City Medical

  • Federally Qualified Health Center (FQHC)
  • Oregon City, OR
  • NPI 1457902561
  NPD (past)
• Oregon City Medical

  • Family Medicine Physician
  • Oregon City, OR
  • NPI 1699943167
  NPD (past)

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1295176923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 SW HUNZIKER RD STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972232302",
            "telephone_number": "503-941-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 SW GRIFFITH DR STE 304",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052933",
            "telephone_number": "503-620-5614",
            "fax_number": "503-598-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "TYRON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-10",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA170039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Touchworks LLC
• Kelsey Townsend, M.ED., BCBA, LBA
• Lynn Marie Townsend, APRN-CNS, AGCNS-BC
• TPC Regenerative Health
• Cole Tracy, LMT
• Diem Thuy Thi Tran
• Duy Anh Tran, DMD
• Hai Tien Tran, D.O.
• Han Hoang Tran
• Lan Tran, PHARMACIST

• Physician Assistant in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.