Individual
MS. CORRINE C TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTERS IN NURSING
Contact information
Practice address
8915 SW CENTER ST, TIGARD, OR 97223
(503) 270-7752
Mailing address
8915 SW CENTER ST, TIGARD, OR 97223
(503) 270-7752
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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