IndividualActive
Tracy Bazan, MD
NPI 1487073789 · Neuromuscular Medicine (Psychiatry & Neurology) Physician · Portland, OR
Provider details
- NPI number
- 1487073789
- Entity type
- Individual
- Primary specialty
- Neuromuscular Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD187129 (OR)
Practice location
5050 Ne Hoyt St Ste 315
Portland, OR 97213-2982
Phone: (503) 215-8580
Mailing address
Po Box 3158
Portland, OR 97208-3158
Registry dates
- Enumerated
- 2014-04-15
- Last updated
- 2022-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.