Dahlke, Tracee Jon

Dahlke, Tracee Jon is an individual health care provider with primary practice located at 320 Sw 2Nd St , Corvallis OR 97333-4632. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / School, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dahlke, Tracee Jon can be contacted via phone (541) 207-3709.

Contact Information

Primary practice address
320 Sw 2Nd St Corvallis OR 97333-4632
Phone: (541) 207-3709
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / School 363LS0200X 201509445RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 202202434NP-PP Oregon

Profile Details

NPI number 1962038018
LBN Legal business name Dahlke, Tracee Jon
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2020
Last updated Mar 16th, 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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