Fritts, Tracy Lyn

Fritts, Tracy Lyn is an individual health care provider with primary practice located at 4560 Se International Way Consonus Rehab Services Suite 100, Milwaukie OR 97222. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Fritts, Tracy Lyn can be contacted via phone (971) 206-5140.

Contact Information

Primary practice address
4560 Se International Way Consonus Rehab Services Suite 100 Milwaukie OR 97222
Phone: (971) 206-5140
Fax: (971) 206-5209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2590 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 00008778 Washington

Profile Details

NPI number 1235287699
LBN Legal business name Fritts, Tracy Lyn
Credentials PHYSICAL THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 2007 - about 17 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 1235287699 NPPES
Oregon MEDICAID 116595

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