Individual
MS. TRACY JO ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2721 NE 57TH AVE, PORTLAND, OR 97213-3415
(503) 282-0926
(503) 282-0930
Mailing address
1004 NW 50TH ST, VANCOUVER, WA 98663-1604
(503) 753-3287
(360) 326-7240
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH60055001
WA
124Q00000X
Dental Hygienist
H4361
OR
Other
Enumeration date
08/09/2011
Last updated
03/09/2022
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