Individual
TRACY L PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1034 NW SPRUCE AVE, REDMOND, OR 97756-1212
(541) 771-9570
(541) 504-8421
Mailing address
1034 NW SPRUCE AVE, REDMOND, OR 97756-1212
(541) 771-9570
(541) 504-8421
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4810
OR
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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