Active NPI
Jane Tram, PHD
- Family Psychologist
- Portland, OR
National Provider Identifier
1750669313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- License
- 1789
- Practice address
- 1675 SW Marlow Ave Ste 200
Portland, OR 97225-5102 - Phone
- (503) 228-6479
- Fax
- (503) 228-4248
- NPI assigned
- Aug 1, 2011
- Last updated
- Sep 29, 2011
- 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 |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | 1789 | OR | Primary |
Addresses
Primary practice location
1675 SW Marlow Ave Ste 200
Portland, OR 97225-5102
Mailing address
498 SW 140TH Ave
Beaverton, OR 97006-6051
Phone (503) 526-2919
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1789 | OR | MD | Family Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317254400000",
"number": "1750669313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "498 SW 140TH AVE",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970066051",
"telephone_number": "503-526-2919",
"fax_number": "503-228-4248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 SW MARLOW AVE STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255102",
"telephone_number": "503-228-6479",
"fax_number": "503-228-4248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAM",
"first_name": "JANE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-01",
"last_updated": "2011-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "OR",
"license": "1789",
"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 Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.