Individual
ABEGAIL TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
3 NE 82ND AVE, PORTLAND, OR 97220-6002
(503) 408-0729
Mailing address
3 NE 82ND AVE, PORTLAND, OR 97220-6002
(503) 408-0729
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0010696
OR
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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