Klein, Tracy A
Klein, Tracy A is an individual health care provider with primary practice located at 650 N Devine Rd , Vancouver WA 98661-6979. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Klein, Tracy A can be contacted via phone (360) 952-4457.Contact Information
Primary practice address
650 N Devine Rd
Vancouver WA 98661-6979
Phone: (360) 952-4457
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 200350047NP | Oregon |
Profile Details
| NPI number | 1124009709 |
|---|---|
| LBN Legal business name | Klein, Tracy A |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Jul 29th, 2015 - about 9 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 | 1124009709 | NPPES |
| Oregon | MEDICAID | 062075 |
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