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Organization

VALLEY PLASTIC SURGERY LLC

Active
Other names
Valley Plastic Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXIS ALLISON TRACY DO (PHYSICIAN)
(304) 520-6644
Entity
Organization

Contact information

Practice address
280 S PACIFIC HWY, TALENT, OR 97540-6649
(541) 512-4771
(541) 512-0880
Mailing address
280 S PACIFIC HWY, TALENT, OR 97540-6649
(541) 512-4771
(541) 512-0880

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
12/13/2011
Last updated
05/20/2025
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