Individual
TRACY DELORES BUSKIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
14815 SE DIVISION ST, PORTLAND, OR 97236-2336
(503) 761-7139
(503) 761-0042
Mailing address
4020 SE 174TH AVE, PORTLAND, OR 97236-9352
(503) 661-7576
(503) 761-0042
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
OR
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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