Organization
PREGNANCY ALTERNATIVES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE TRACY (EXECUTIVE DIRECTOR)
(541) 258-3500
Entity
Organization
Contact information
Practice address
136 W VINE ST, LEBANON, OR 97355-3345
(541) 258-3500
Mailing address
136 W VINE ST, LEBANON, OR 97355-3345
(541) 258-3500
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
176332-80
OR
261Q00000X
Clinic/Center
Primary
17633280
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
176332-80
REGISTRY NUMBER WITH OREGON STATE
OR
Enumeration date
11/17/2010
Last updated
03/01/2011
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