Livingston, Tracia

Livingston, Tracia is an individual health care provider with primary practice located at 272 Medical Loop Suite C, Roseburg OR 97471. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Livingston, Tracia can be contacted via phone (541) 440-3532.

Contact Information

Primary practice address
272 Medical Loop Suite C Roseburg OR 97471
Phone: (541) 440-3532
Fax: (541) 440-3554
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1376800649
LBN Legal business name Livingston, Tracia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2012
Last updated May 15th, 2015 - about 10 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 1376800649 NPPES
Oregon MEDICAID 500663426

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