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Organization
VALLEY PLASTIC SURGERY LLC
Active
Organization
VALLEY PLASTIC SURGERY LLC
Active
Other names
Valley Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS ALLISON TRACY DO (PHYSICIAN)
(304) 520-6644
Entity
Organization
Contact information
Practice address
280 S PACIFIC HWY, TALENT, OR 97540-6649
(541) 512-4771
(541) 512-0880
Mailing address
280 S PACIFIC HWY, TALENT, OR 97540-6649
(541) 512-4771
(541) 512-0880
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
—
NULL
208200000X
Plastic Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/13/2011
Last updated
05/20/2025
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