Individual
TRACY L HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1698 E MCANDREWS RD, SUITE 160, MEDFORD, OR 97504-5589
(541) 732-7874
(541) 732-7875
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 732-7874
(541) 732-7875
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD24518
OR
Other
Enumeration date
10/06/2006
Last updated
03/11/2021
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