Individual
DR. TRACY CHANTELLLE DOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
17184 SW ARTESIAN DR, BEAVERTON, OR 97006-4990
(503) 314-5856
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3184ATI
OR
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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