Individual
MR. SHANE PATRICK TRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NBC-HWC
Contact information
Practice address
315 W BROADWAY STE 100, EUGENE, OR 97401-3081
(541) 206-2271
(541) 470-8729
Mailing address
3155 PORTLAND ST, EUGENE, OR 97405-5140
(541) 206-2271
(541) 470-8729
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3922969
OR
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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