Individual
MR. DYLAN TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
16110 8TH AVE SW STE A2, BURIEN, WA 98166-2962
(206) 242-8280
(206) 242-8302
Mailing address
16110 8TH AVE SW STE A2, BURIEN, WA 98166-2962
(206) 242-8280
(206) 242-8302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125067436
IL
207Q00000X
Family Medicine Physician
1646
NE
207Q00000X
Family Medicine Physician
Primary
OP61102294
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2180613
—
WA
Enumeration date
06/11/2015
Last updated
09/16/2021
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