MARK TYRRELL (NPI# 1124416946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124416946 |
| Entity Type | Individual |
| Full Name | MARK TYRRELL |
| Credential | PA-C |
| Practice Address |
202 Nw 13th Ave Portland OR 97209-2953 |
| Mailing Address |
19075 Nw Tanasbourne Dr Ste 200 Hillsboro OR 97124-5860 |
| Practice Telephone | 5036848252 |
| Mailing Telephone | 5036848252 |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2014-12-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA170880 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
202 NW 13TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-2953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689647372 | Zoomcare PC | Internal Medicine | 202 Nw 13th Ave, Portland, OR 97209 | 2006-02-11 |
| 1043820848 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 202 Nw 13th Ave, Portland, OR 97209-2953 | 2020-08-06 |
| 1598307381 | Randi Rebecca Heriford | Behavioral Analyst | 202 Nw 13th Ave, Portland, OR 97209-2953 | 2019-10-13 |
| 1992358493 | Lynaudry Vickers | Registered Nurse | 202 Nw 13th Ave, Portland, OR 97209-2953 | 2019-07-23 |
| 1053866764 | Mary Elizabeth Rotberg | Nurse Practitioner | 202 Nw 13th Ave, Portland, OR 97209-2953 | 2016-08-23 |
| 1710378591 | Ashton Tart | Registered Nurse | 202 Nw 13th Ave, Portland, OR 97209-2953 | 2015-02-14 |
| 1275948168 | Cameron Steineckert | Physician Assistant | 202 Nw 13th Ave, Portland, OR 97209-2953 | 2014-06-30 |
| 1598183071 | Christian Marchant | Physician Assistant | 202 Nw 13th Ave, Portland, OR 97209-2953 | 2014-04-02 |
| 1730466178 | Karyn Virginia Guido | Physician Assistant | 202 Nw 13th Ave, Portland, OR 97209 | 2011-11-14 |
| 1265749188 | Stephanie Warye | Physician Assistant | 202 Nw 13th Ave, Portland, OR 97209-2953 | 2010-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073081428 | Ishah Marie Price | Physician Assistant | 30 Preble St Apt 663, Portland, ME 04101-4939 | 2018-11-04 |
| 1740797166 | Joseph Something | Physician Assistant | 4800 Sw 76th Ave, Portland, OR 97225-1804 | 2018-01-08 |
| 1235687013 | Satchel Harry | Physician Assistant | 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 | 2016-09-21 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1871982975 | Colin Storz | Physician Assistant | 3623 N Borthwick Ave, Portland, OR 97227-1218 | 2015-01-13 |
| 1275888729 | Stephanie Calvin | Physician Assistant | 782 College St, Portland, TN 37148-2120 | 2012-07-20 |
| 1174800031 | Carolyn Frances Farrell | Physician Assistant | 450 N Graham St, Portland, OR 97227-1682 | 2011-11-07 |
| 1316130198 | Ronald W Kessler | Physician Assistant | 632 Brighton Ave, Portland, ME 04102-1017 | 2007-08-24 |
| 1124210778 | Honey E.l. Marques | Physician Assistant | 16279 Se Division St, Portland, OR 97236-1971 | 2007-08-16 |
| 1124177902 | Dmitriy Shore | Physician Assistant | 10305 Sw Park Way Ste 300, Portland, OR 97225-5033 | 2007-01-09 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on MARK TYRRELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.