Individual
TRACY HEART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
2037 NW LOVEJOY ST, PORTLAND, OR 97209-1515
(503) 805-6185
Mailing address
5156 SW MULTNOMAH BLVD, CONDO F, PORTLAND, OR 97219-3372
(503) 805-6185
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2403
OR
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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