Individual
DR. TRACY ANN EPPERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
506 4TH ST, LA GRANDE, OR 97850-1906
(541) 963-8421
(541) 962-2596
Mailing address
506 4TH ST, LA GRANDE, OR 97850-1906
(541) 963-8421
(541) 962-2596
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
2084P0800X
Psychiatry Physician
E-12576
AR
2084P0800X
Psychiatry Physician
Primary
MD208949
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/10/2007
Last updated
02/09/2024
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