Corrine C Tracy, Masters in Nursing
Counselor in Tigard, OR. Individual provider (NPI-1).
NPI number1174875496
StatusActive
Last updated in NPPESOct 10, 2012
Details
- NPI
- 1174875496
- Entity type
- Individual (NPI-1)
- Name
- Ms. Corrine C Tracy
- Credential
- Masters in Nursing
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2012
- Last updated
- Oct 10, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
8915 Sw Center StTigard, OR 97223
Phone 503-270-7752
Mailing address
8915 Sw Center StTigard, OR 97223
Phone 503-270-7752
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