NPI 1366416570 · live from the CMS NPI Registry
Tracey I. Berry, MD
Anesthesiology in Portland, OR. National Provider Identifier 1366416570, active.
NPI record
| NPI | 1366416570 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 120 Nw 14th Ave, Suite 300, Portland, OR 97209 |
| Practice phone | 503-299-9906 |
| Mailing address | Po Box 2040, Portland, OR 97208 |
| Enumerated | February 14, 2006 |
| Last updated | February 22, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | MD19311 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.