DR. AUDREY ELLEN TARR MD NPI 1922110972

NPI Information

  • NPI: 1922110972
  • Provider Name: DR. AUDREY ELLEN TARR, MD
  • Classification: Obstetrics & Gynecology - 207VF0040X
  • Specialization: Urogynecology and Reconstructive Pelvic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1040 NW 22ND AVE, SUITE 600
    PORTLAND, OR
    ZIP 97210
  • Phone: (503) 413-5787

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NPI Details

DR. Audrey Ellen Tarr, MD is an urogynecology and reconstructive pelvic surgery in Portland, OR. The provider is a subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. DR. Audrey Ellen Tarr, MD NPI is 1922110972. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1040 NW 22ND AVE, SUITE 600
PORTLAND, OR
ZIP 97210-041
Phone: (503) 413-5787
Fax: (503) 413-5788

The NPI 1922110972 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 7/15/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VX0000XObstetrics & GynecologyObstetricsMD23494OREGONNo
2207VF0040XObstetrics & GynecologyUrogynecology and Reconstructive Pelvic SurgeryMD23494OREGONYes
3207VF0040XObstetrics & GynecologyUrogynecology and Reconstructive Pelvic SurgeryMD00040629WASHINGTONNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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