Individual
MR. TRACY CAMERON MANSFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, CCC-SLP, ATP
Contact information
Practice address
1755 KINGS NORTH ST, EUGENE, OR 97401-8507
(541) 221-4774
Mailing address
1755 KINGS NORTH ST, EUGENE, OR 97401-8507
(541) 221-4774
Taxonomy
Speciality
Code
Description
License number
State
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
—
—
235Z00000X
Speech-Language Pathologist
Primary
12851
OR
Other
Enumeration date
10/25/2010
Last updated
11/01/2015
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