Iserhott, Tracey Lee
Iserhott, Tracey Lee is an sole proprietor health care provider with primary practice located at 645 Waverly Drive Se Suite 208, Albany OR 97322. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Iserhott, Tracey Lee can be contacted via phone (541) 570-9234.Contact Information
Primary practice address
645 Waverly Drive Se Suite 208
Albany OR 97322
Phone: (541) 570-9234
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L3247 | Oregon |
Profile Details
| NPI number | 1659369239 |
|---|---|
| LBN Legal business name | Iserhott, Tracey Lee |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 8th, 2005 |
| Last updated | Apr 17th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659369239 | NPPES |
| Oregon | MEDICAID | 277795 |
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