Individual
TRACI ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1830 NW 9TH ST STE 106, CORVALLIS, OR 97330-2368
(541) 207-1908
Mailing address
1830 NW 9TH ST STE 106, CORVALLIS, OR 97330-2368
(541) 207-1908
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4244
OR
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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