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Individual

TRACY T NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
1200 HILYARD ST STE 540, EUGENE, OR 97401-8122
(458) 205-7070
(458) 205-7089
Mailing address
3633 SE 35TH PL, PORTLAND, OR 97202-3365
(503) 494-6139

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
225X00000X
Occupational Therapist
392484
OR
225XM0800X
Mental Health Occupational Therapist
Primary
392484
OR

Other

Enumeration date
12/02/2010
Last updated
05/24/2019
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