ANDREW R TRICKEY (NPI# 1255355574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255355574 |
| Entity Type | Individual |
| Full Name | ANDREW R TRICKEY |
| Credential | MD |
| Practice Address |
19300 Sw 65th Ave Tualatin OR 97062-7706 |
| Mailing Address |
6312 Sw Capitol Hwy #502 Portland OR 97239-1938 |
| Practice Telephone | 5036927474 |
| Mailing Telephone | 5034649034 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD21346 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 022534 | 05 |
| Street Address |
19300 SW 65TH AVE |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062-7706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063417392 | Paul R Ash | Psychiatry & Neurology | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2005-06-14 |
| 1689217044 | Jacob White | Pharmacist | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2019-10-17 |
| 1679114011 | Jeri Leanne Shanahan | Pharmacist | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2019-10-07 |
| 1255840161 | Cinthia Marie Adair | Speech-Language Pathologist | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2017-09-22 |
| 1609311059 | Olivia Terris | Dietitian, Registered | 19300 Sw 65th Ave, Cardiac and Pulmonary Rehab, Tualatin, OR 97062-7706 | 2016-12-21 |
| 1568826386 | Kathryn Renee Foutch | Internal Medicine | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2016-04-07 |
| 1497129035 | Job Anderson | Pharmacist | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2015-11-19 |
| 1750775698 | Jessica Lorenz | Internal Medicine | 19300 Sw 65th Ave, Tualatin, OR 97062 | 2015-03-27 |
| 1528487956 | Raelin Fullmer I | Internal Medicine | 19300 Sw 65th Ave, Tualatin, OR 97062 | 2014-04-14 |
| 1497170849 | Legacy Meridan Park Hospital | Pharmacy | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2014-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
| 1932607934 | Naturalways Pediatrics | Clinic/Center | 18813 Sw Martiazzi Ave, Tualatin, OR 97062 | 2018-01-25 |
| 1831646280 | Elizabeth Erin Tafesse | Behavioral Analyst | 18765 Sw Boones Ferry Rd Suite 100, Tualatin, OR 97062 | 2016-09-01 |
| 1962851311 | Ana Mercedes Cerritos-sanchez | Community Health Worker | 19355 Sw 65th Ave Apt A5, Tualatin, OR 97062 | 2016-06-07 |
| 1952759318 | William Luke Summers | Counselor | 18840 Southwest Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2016-05-26 |
| 1730536913 | Krystle Alligood | Behavioral Analyst | 18768 Sw Boones Ferry Road, Tualatin, OR 97062 | 2016-05-18 |
| 1760869739 | Oregon City Medical Nw, Inc | Clinic/Center | 6464 Sw Borland Road #d-4, Tualatin, OR 97062 | 2015-04-29 |
| 1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
| 1043646474 | Michelle Lords | Registered Nurse | 7668 Sw Mohawk Street, Tualatin, OR 97062 | 2013-09-17 |
| 1871930750 | Sharon Ruth Frank | Social Worker | 7668 Sw Mohawk St., Aps Healthcare, Tualatin, OR 97062 | 2013-05-31 |
| Find all providers in zip 97062 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346558194 | Mary Elizabeth Foley | Emergency Medicine | 4675 Sw Trail Rd, Tualatin, OR 97062-7784 | 2010-09-15 |
| 1841384807 | Emergency and Acute Care Medical Company - Northwest, Inc. | Emergency Medicine | Legacy Meridian Park Hospital, 19300 Sw 65th Avenue, Tualatin, OR 97062 | 2006-10-03 |
| 1992145775 | John Robert Turner | Emergency Medicine | 19300 Sw 65th Ave, Tualatin, OR 97062-9741 | 2013-06-26 |
| 1275557530 | James T Rovang | Emergency Medicine | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2006-07-27 |
| 1700800091 | David A. Toovy | Emergency Medicine | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2006-07-27 |
| 1568486900 | Barbara K Moore | Emergency Medicine | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2006-07-27 |
| 1417971763 | Mark C Moylan | Emergency Medicine | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2006-07-27 |
| 1952325326 | Michael Scott Miller | Emergency Medicine | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2006-07-27 |
| 1407870793 | Michael L Sidoff | Emergency Medicine | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2006-07-27 |
| 1790709020 | David J Wenger | Emergency Medicine | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2006-07-27 |
| Find all providers in TUALATIN | ||||
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| 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.