Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tracy Dodge, PA-C, MPH

Individual provider Medical Physician Assistant · NPI 1679023519

Tracy Dodge, PA-C, MPH is a Medical Physician Assistant in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

727 W Burnside St
Portland, OR 97209-3514
Phone: (503) 228-4533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA190591 (OR)

Record details

NPI number1679023519
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MPH
Sole proprietorYes
NPI enumeratedOctober 4, 2016
Last updated in NPPESJuly 11, 2019

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