Individual
TRACY LEE MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6511 NE 18TH ST, VANCOUVER, WA 98661-6869
(360) 759-4917
(360) 759-4921
Mailing address
3564 NW LANSBROOK TER, PORTLAND, OR 97229-3772
(503) 439-9434
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00002591
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8346579
—
WA
Enumeration date
05/21/2007
Last updated
07/09/2007
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