Goudy, Tracy Jean
Goudy, Tracy Jean is an individual health care provider with primary practice located at 11580 Ne Beverly Dr , Newport OR 97365-9538. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Goudy, Tracy Jean can be contacted via phone (541) 265-4508.Contact Information
Primary practice address
11580 Ne Beverly Dr
Newport OR 97365-9538
Phone: (541) 265-4508
Fax: (541) 265-4508
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C4248 | Oregon |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 94-R-13 | Oregon |
Profile Details
NPI number | 1639131121 |
---|---|
LBN Legal business name | Goudy, Tracy Jean |
Credentials | Master of Arts (MA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 3rd, 2006 |
Last updated | Aug 24th, 2016 - about 8 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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