NPIMap

Organization Active NPI

Tracy Andersen, Daom, Lac

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1346065075
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
TRACY ANDERSEN, DAOM, LAC
Practice address
2301 NW Thurman St Ste O
Portland, OR 97210-2581
Phone
(503) 250-3012
Fax
(503) 208-8028
NPI assigned
Nov 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Tracy Andersen, DAOM, LACNPI 1720138795
Title
Doctor
Phone
(503) 250-3012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

2301 NW Thurman St Ste O
Portland, OR 97210-2581

Mailing address

2301 NW Thurman St Ste O
Portland, OR 97210-2581
Phone (503) 250-3012

National Provider Directory

National Provider Directory

Locations

2301 NW Thurman St
Ste O
Portland, OR 97210
Phone (503) 250-3012

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1346065075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 NW THURMAN ST STE O",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102581",
            "telephone_number": "503-250-3012",
            "fax_number": "503-208-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 NW THURMAN ST STE O",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102581",
            "telephone_number": "503-250-3012",
            "fax_number": "503-208-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY ANDERSEN, DAOM, LAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "503-250-3012",
        "authorized_official_credential": "DAOM, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.