Fentress, Tracy L

Fentress, Tracy L is an individual health care provider with primary practice located at 9775 Sw Gemini Dr , Beaverton OR 97008-7148. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is her primary health care specialty. Fentress, Tracy L can be contacted via phone (888) 202-4014.

Contact Information

Primary practice address
9775 Sw Gemini Dr Beaverton OR 97008-7148
Phone: (888) 202-4014
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 8796 Oregon
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 8796 Oregon

Profile Details

NPI number 1477786788
LBN Legal business name Fentress, Tracy L
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2009
Last updated Jun 24th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477786788 NPPES
Other NA NA
Other 12341 NA
Other 12341 NA

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