Individual
DR. TRACY A KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
650 N DEVINE RD, VANCOUVER, WA 98661-6979
(360) 952-4457
Mailing address
PO BOX 82399, PORTLAND, OR 97282-0399
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200350047NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062075
—
OR
Enumeration date
11/09/2005
Last updated
07/29/2015
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