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Individual

DR. TRACY JEANNE PECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9000 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9758
(503) 813-2000
(503) 571-3418
Mailing address
9000 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9758
(503) 813-2000
(503) 571-3418

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
60236668
WA
208000000X
Pediatrics Physician
A107878
CA
208000000X
Pediatrics Physician
Primary
MD152995
OR

Other

Enumeration date
05/26/2009
Last updated
04/13/2020
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