Individual provider Active NPI

Tracy L Laidley, MD

  • Internal Medicine Physician
  • Portland, OR
National Provider Identifier
1437128451
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD18321 Issued in OR
Practice address
501 N Graham St
Ste 100
Portland, OR 97227-1654
Phone
(503) 249-5780
Fax
(503) 249-5788
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD18321 OR Primary

Addresses

Primary practice location

501 N Graham St
Ste 100
Portland, OR 97227-1654

Mailing address

1411 SW Morrison St
Ste 200
Portland, OR 97205-1945
Phone (503) 242-9850

Other identifiers 1

IdentifierTypeStateIssuer
064287MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070413000054 OR Practitioner - Internal Medicine 2961507363 Reassigns benefits to 6 organizations
I20260226003153 WA Practitioner - Internal Medicine 2961507363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

Practice addresses (Care Compare)

1130 NW 22ND Ave
Suite 220
Portland, OR 97210-2969
Phone (503) 413-8988

1225 NE 2ND Ave
Portland, OR 97232-2003
Phone (503) 944-8000

2725 SW Cedar Hills Blvd
Suite 250
Beaverton, OR 97005-1469
Phone (503) 415-5525

2800 N Vancouver Ave
Suite 230
Portland, OR 97227-1668
Phone (503) 413-4340

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-2042

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD18321ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Clinics LLC Internal Medicine CurrentSince Nov 7, 2025 Accepting new patients
Silverton Health CurrentSince Nov 7, 2025 Accepting new patients
Legacy Mount Hood Medical Center Current Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Jan 30, 2017 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Current Accepting new patients
Silverton Health Current Accepting new patients
Legacy Clinics LLC CurrentSince Nov 7, 2025 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Nov 7, 2025 Accepting new patients
Legacy Meridian Park Hospital CurrentSince Nov 7, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Feb 8, 2026 Accepting new patients
Silverton Health Current Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Nov 7, 2025 Accepting new patients
Silverton Health Current Accepting new patients
Legacy Mount Hood Medical Center CurrentSince Nov 7, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Feb 8, 2026 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Jan 30, 2017 Accepting new patients
Legacy Meridian Park Hospital CurrentSince Nov 7, 2025 Accepting new patients

Locations

24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407

861 W Main St
Molalla, OR 97038
Phone (503) 829-7344

250 W Marquam St
Mount Angel, OR 97362
Phone (503) 845-2000

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

15 N Morris St
Ste 580
Portland, OR 97227
Phone (503) 528-0704

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

501 N Graham St
Ste 100
Portland, OR 97227
Phone 5032429850209

1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074

2222 NW Lovejoy St
Ste 505
Portland, OR 97210
Phone (503) 226-4091

500 N Columbia River Hwy
Ste 6
Saint Helens, OR 97051
Phone (503) 366-5101

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

19250 SW 65th Ave
Ste 110
Tualatin, OR 97062
Phone (503) 692-1205

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

1475 Mount Hood Ave
Woodburn, OR 97071
Phone (503) 982-2174

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Interoperability endpoints

  • Direct secure messaging: tlaidley9276@direct.lhs.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1437128451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 SW MORRISON ST",
            "address_2": "STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051945",
            "telephone_number": "503-242-9850",
            "fax_number": "503-279-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N GRAHAM ST",
            "address_2": "STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271654",
            "telephone_number": "503-249-5780",
            "fax_number": "503-249-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIDLEY",
        "first_name": "TRACY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD18321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064287",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.