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Individual

MS. TRACY LYNN POLICAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
20945 SW WILLAPA CT, TUALATIN, OR 97062-9549
(503) 504-1662
Mailing address
PO BOX 3603, TUALATIN, OR 97062-3603
(503) 504-1662

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
989272
OR

Other

Enumeration date
07/12/2007
Last updated
07/12/2007
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