Individual
TRACI POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR INTERVENTIO
Contact information
Practice address
115 N COLLEGE ST, PO BOX, ADAMS, OR 97810
(541) 969-2797
Mailing address
PO BOX 81, ADAMS, OR 97810-0081
(541) 969-2797
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1065S00000X
—
OR
Enumeration date
08/16/2017
Last updated
07/21/2022
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