Active NPI
Tracy Emily Gutman, MD
- Health Educator
- Oregon City, OR
National Provider Identifier
1649373846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 150 Beavercreek Rd
Oregon City, OR 97045-4302 - Phone
- (503) 742-5300
- Fax
- (503) 655-8293
- NPI assigned
- Sep 6, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
150 Beavercreek Rd
Oregon City, OR 97045-4302
Mailing address
9927 N Decatur St
Portland, OR 97203-2819
Phone (573) 289-2626
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514937600000",
"number": "1649373846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9927 N DECATUR ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972032819",
"telephone_number": "573-289-2626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 BEAVERCREEK RD",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970454302",
"telephone_number": "503-742-5300",
"fax_number": "503-655-8293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTMAN",
"first_name": "TRACY",
"middle_name": "EMILY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2018-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.