Individual
MS. TRACY RENEE RAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
176 1ST AVE N, ILWACO, WA 98624
(360) 642-3747
Mailing address
1815 E 19TH ST STE B, THE DALLES, OR 97058-3385
(541) 316-6575
(541) 210-8913
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
AT-AT-10148406
OR
363A00000X
Physician Assistant
PA207993
OR
363AM0700X
Medical Physician Assistant
Primary
PA60866658
WA
363AM0700X
Medical Physician Assistant
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Other
Enumeration date
03/17/2010
Last updated
02/22/2022
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