Bazan, Tracy

Bazan, Tracy is an individual health care provider with primary practice located at 5050 Ne Hoyt St Ste 315 , Portland OR 97213-2982. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neuromuscular Medicine. Allopathic & Osteopathic Physicians / Neuromuscular Medicine is her primary health care specialty. Bazan, Tracy can be contacted via phone (503) 215-8580.

Contact Information

Primary practice address
5050 Ne Hoyt St Ste 315 Portland OR 97213-2982
Phone: (503) 215-8580
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD187129 Oregon
Allopathic & Osteopathic Physicians / Neuromuscular Medicine 2084N0008X MD187129 Oregon

Profile Details

NPI number 1487073789
LBN Legal business name Bazan, Tracy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2014
Last updated Nov 25th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487073789 NPPES
Oregon MEDICAID 500672696

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