Brunkhorst, Tracy Lynne

Brunkhorst, Tracy Lynne is an sole proprietor health care provider with primary practice located at 26551 Se Wally Rd , Boring OR 97009-8487. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Brunkhorst, Tracy Lynne can be contacted via phone (612) 419-5891.

Contact Information

Primary practice address
26551 Se Wally Rd Boring OR 97009-8487
Phone: (612) 419-5891
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H7355 Oregon

Profile Details

NPI number 1205400256
LBN Legal business name Brunkhorst, Tracy Lynne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2021
Last updated May 14th, 2021 - about 4 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.

Request for update

Popular Providers