Individual
TRACY FAITH WARNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330
(541) 758-5900
(503) 620-3940
Mailing address
3415 SE POWELL BLVD., PORTLAND, OR 97202
(503) 234-9591
(503) 620-3940
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T2042
OR
Other
Enumeration date
05/13/2014
Last updated
03/01/2022
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