Individual
TRACEY WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 AIRPORT WAY S, SEATTLE, WA 98134-1618
(206) 971-8830
Mailing address
1700 AIRPORT WAY S, SEATTLE, WA 98134-1618
(206) 712-9377
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
374700000X
Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962985200
—
WA
Enumeration date
09/12/2018
Last updated
03/17/2022
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