Individual
TRACEY L FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-5058
(503) 494-5065
Mailing address
1400 SW 5TH AVE STE 500, PORTLAND, OR 97201-5537
(666) 176-8558
(503) 346-8015
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP081908
ME
363LF0000X
Family Nurse Practitioner
Primary
201504213NP-PP
OR
363LF0000X
Family Nurse Practitioner
R052968
ME
Other
Enumeration date
06/23/2008
Last updated
12/11/2023
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