Active NPI
Jimmie Nick Tarro, MD
- Clinical Pharmacology Physician
- Portland, OR
National Provider Identifier
1578712519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pharmacology Physician
- License
- MDO7596
- Practice address
- 5331 SW Macadam Ave Ste 307
Portland, OR 97239-3859 - Phone
- (503) 294-7193
- Fax
- (503) 294-0231
- NPI assigned
- Sep 15, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pharmacology Physician | 208U00000X | MDO7596 | OR | Primary |
Addresses
Primary practice location
5331 SW Macadam Ave Ste 307
Portland, OR 97239-3859
Mailing address
5486 SW Natchez St
Tualatin, OR 97062-9766
Phone (503) 692-0918
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDO7596 | OR | MD | Clinical Pharmacology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1578712519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5486 SW NATCHEZ ST",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970629766",
"telephone_number": "503-692-0918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5331 SW MACADAM AVE STE 307",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393859",
"telephone_number": "503-294-7193",
"fax_number": "503-294-0231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARRO",
"first_name": "JIMMIE",
"middle_name": "NICK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-15",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208U00000X",
"taxonomy_group": "",
"desc": "Clinical Pharmacology",
"state": "OR",
"license": "MDO7596",
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.