Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyron Tracy, PA-C

Individual provider Physician Assistant · NPI 1295176923

Tyron Tracy, PA-C is a Physician Assistant in Beaverton, Oregon. Qualified in 2012, 14 years ago. Practices with Pdx Allergy LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
14
Licensed in
OR
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4915 SW Griffith Dr Ste 304
Beaverton, OR 97005-2933
Phone: (503) 620-5614
Fax: (503) 598-4688
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA170039 (OR)

Record details

NPI number1295176923
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 10, 2013
Last updated in NPPESNovember 26, 2024
Certification dateNovember 26, 2024
Mailing address7320 Sw Hunziker Rd Ste 300, Portland, OR 97223-2302

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Pdx Allergy Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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