Individual
TRACY BARNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, RN, CDE
Contact information
Practice address
210 NW 17TH AVE, PORTLAND, OR 97209-2151
(360) 721-7491
Mailing address
4207 SE WOODSTOCK BLVD # 563, PORTLAND, OR 97206-6267
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201141280RN
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2015
Last updated
04/11/2022
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