Individual provider Active NPI

Lawrence S Tremaine, DO

  • Family Medicine Physician
  • West Linn, OR
National Provider Identifier
1447334032
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0018459 Issued in OR
Practice address
22400 S Salamo Rd
Suite 101a
West Linn, OR 97058
Phone
(503) 657-6010
Fax
(503) 655-0753
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0018459 OR Primary

Addresses

Primary practice location

22400 S Salamo Rd
Suite 101a
West Linn, OR 97058

Mailing address

22400 S Salamo Rd
Suite 101a
West Linn, OR 97058
Phone (503) 657-6010

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170814002672 OR Practitioner - Family Practice 9133431760 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0018459ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Meridian Park Hospital CurrentSince Jul 1, 2017 Accepting new patients
Legacy Meridian Park Hospital Past Accepting new patients

Locations

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

2020 8th Ave
Ste 100
West Linn, OR 97068
Phone (503) 353-1278

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447334032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22400 S SALAMO RD",
            "address_2": "SUITE 101A",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "97058",
            "telephone_number": "503-657-6010",
            "fax_number": "503-655-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22400 S SALAMO RD",
            "address_2": "SUITE 101A",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "97058",
            "telephone_number": "503-657-6010",
            "fax_number": "503-655-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREMAINE",
        "first_name": "LAWRENCE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "0018459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

Verify at the official NPI Registry.