# VALLEY PLASTIC SURGERY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Valley Plastic Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124396544
- **Authorized official:** ALEXIS ALLISON TRACY DO (PHYSICIAN)
- **Authorized official phone:** (304) 520-6644

## Contact information

- **Practice address:** 280 S PACIFIC HWY, TALENT, OR 97540-6649
- **Practice address phone:** (541) 512-4771
- **Practice address fax:** (541) 512-0880
- **Mailing address:** 280 S PACIFIC HWY, TALENT, OR 97540-6649
- **Mailing address phone:** (541) 512-4771
- **Mailing address fax:** (541) 512-0880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208200000X | Plastic Surgery Physician | — | NULL | — |
| 208200000X | Plastic Surgery Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/13/2011
- **Last updated:** 05/20/2025