Individual provider Active NPI

Andrea Rose Tremaine, MD

  • Family Medicine Physician
  • Tigard, OR
National Provider Identifier
1952735086
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ML60395197 Issued in WA
Practice address
16083 SW Upper Boones Ferry Rd Ste 130
Tigard, OR 97224-7737
Phone
(503) 603-9087
Fax
(503) 603-9122
NPI assigned
Aug 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ML60395197 WA Primary

Addresses

Primary practice location

16083 SW Upper Boones Ferry Rd Ste 130
Tigard, OR 97224-7737

Mailing address

16083 SW Upper Boones Ferry Rd Ste 130
Tigard, OR 97224-7737
Phone (503) 603-9087

Other practice location 1

100 E 33rd St
Ste 100
Vancouver, WA 98663-2776
Phone (360) 514-7550

Other names 1

  • Andrea Rose Cathers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161116002924 OR Practitioner - Family Practice 7416177951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ML60395197WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fornance Physician Services, Inc. Family Medicine PastSince Sep 1, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: andrea.tremaine@897273817595908.direct.elationemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1952735086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16083 SW UPPER BOONES FERRY RD STE 130",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247737",
            "telephone_number": "503-603-9087",
            "fax_number": "503-603-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16083 SW UPPER BOONES FERRY RD STE 130",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247737",
            "telephone_number": "503-603-9087",
            "fax_number": "503-603-9122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E 33rd St",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986632776",
            "country_code": "US",
            "telephone_number": "360-514-7550",
            "fax_number": "360-514-7553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREMAINE",
        "first_name": "ANDREA",
        "middle_name": "ROSE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "ML60395197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "CATHERS",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.