Individual
DR. TRACY RENEE EXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
840 GUADALUPE PKWY, SAN JOSE, CA 95110
(408) 299-4841
(408) 299-2511
Mailing address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(503) 535-3827
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A108233
CA
207R00000X
Internal Medicine Physician
MD173883
OR
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
A108233
CA
208000000X
Pediatrics Physician
A108233
CA
208000000X
Pediatrics Physician
MD173883
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181599
—
OR
Enumeration date
06/20/2007
Last updated
07/01/2018
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