Individual
DR. ALEXIS A TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
280 S PACIFIC HWY, TALENT, OR 97540-6649
(541) 500-4199
(541) 414-0415
Mailing address
280 S PACIFIC HWY, TALENT, OR 97540-6649
(541) 500-4199
(541) 414-0415
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2580
WV
208100000X
Physical Medicine & Rehabilitation Physician
52236-24
WI
208100000X
Physical Medicine & Rehabilitation Physician
59109
CO
208100000X
Physical Medicine & Rehabilitation Physician
Primary
DO210290
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500806720
—
OR
Enumeration date
06/25/2007
Last updated
03/16/2026
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