Individual provider · Type 1 NPI

Tracy Bazan, MD

Neuromuscular Medicine (Psychiatry & Neurology) Physician · Portland, OR

NPI number 1487073789 Active

Practice location

5050 NE Hoyt St Ste 315
Portland, OR 97213-2982

Call (503) 215-8580 Map

Mailing address

PO Box 3158
Portland, OR 97208-3158

Other practice locations

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011 · (503) 494-8211
10330 SE 32nd Ave Ste 226, Milwaukie, OR 97222-6699 · (503) 513-8020

Specialties and licenses

Taxonomy	Code	License
Neurology Physician	2084N0400X	MD187129 (OR)
Neuromuscular Medicine (Psychiatry & Neurology) Physician Primary	2084N0008X	MD187129 (OR)

Neuromuscular Medicine (Psychiatry & Neurology) Physician: A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmiss…

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About NPI 1487073789

Tracy Bazan, MD's National Provider Identifier is 1487073789, issued on Apr 15, 2014. The primary taxonomy on file is Neuromuscular Medicine (Psychiatry & Neurology) Physician (2084N0008X), and the practice location is in Portland, OR. The record was last updated on Nov 25, 2022.