Individual
DR. TRACEY MARIE COLUMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 KATLIAN ST, SITKA, AK 99835-7359
(907) 747-5861
(907) 747-5415
Mailing address
827 NE 63RD AVE, PORTLAND, OR 97213-4337
(503) 927-5574
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6821
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6821
STATE LICENSE
AK
05
—
MD1196
—
AK
Enumeration date
03/23/2008
Last updated
09/25/2013
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