Active NPI
Hollie N Tirrell, ATC, CKTP
- Athletic Trainer
- Portland, OR
National Provider Identifier
1851526776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 527 SW Hall St
Portland, OR 97201-5230 - Phone
- (503) 725-4073
- NPI assigned
- May 20, 2009
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
527 SW Hall St
Portland, OR 97201-5230
Mailing address
1474 NW 189TH Way
Apt 8
Beaverton, OR 97006-6928
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242777600000",
"number": "1851526776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1474 NW 189TH WAY",
"address_2": "APT 8",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970066928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 SW HALL ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972015230",
"telephone_number": "503-725-4073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIRRELL",
"first_name": "HOLLIE",
"middle_name": "N",
"credential": "ATC, CKTP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-20",
"last_updated": "2009-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
- Daniel Alex Tirado, MD
- Claire Tirapelle
- David Thoreau Tircuit, L.AC.
- Tiringo Residential Treatment Home
- Abigail Fillmore Tirrell, M.D., M.P.H.
- Nagendra Ranganatha Rao Tirumali, M.D.
- Miya Tischler
- Angela Lee Tisci, LAC
- Sallie Tisdale, RN
- Titan Physical Therapy Services, LLC (Physical Therapy at the MAC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.