Active NPI
Tracy Edinger, ND, MS
- Naturopath
- Portland, OR
National Provider Identifier
1609998285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 1454
- Practice address
- 1915 NE 16TH Ave Apt 1
Portland, OR 97212-4428 - Phone
- (503) 287-6352
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Naturopath | 175F00000X | 1454 | OR | Primary |
Addresses
Primary practice location
1915 NE 16TH Ave Apt 1
Portland, OR 97212-4428
Mailing address
1915 NE 16TH Ave Apt 1
Portland, OR 97212-4428
Phone (503) 287-6352
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1454 | OR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472256000000",
"number": "1609998285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1915 NE 16TH AVE APT 1",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972124428",
"telephone_number": "503-287-6352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 NE 16TH AVE APT 1",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972124428",
"telephone_number": "503-287-6352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDINGER",
"first_name": "TRACY",
"name_prefix": "Dr.",
"credential": "ND, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2016-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "1454",
"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 Aug 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.