Individual
TRACY HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
737 BUSCH RD, TRAIL, OR 97541-0018
(541) 326-7939
Mailing address
737 BUSCH RD, TRAIL, OR 97541-0018
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
OR
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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