Russ, Tracey Marie

Russ, Tracey Marie is an sole proprietor health care provider with primary practice located at 3445 Boone Rd Se , Salem OR 97317-9336. She recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as her primary health care specialty. Russ, Tracey Marie can be contacted via phone (503) 576-3000.

Contact Information

Primary practice address
3445 Boone Rd Se Salem OR 97317-9336
Phone: (503) 576-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 0012073 Colorado

Profile Details

NPI number 1881056109
LBN Legal business name Russ, Tracey Marie
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2016
Last updated Mar 25th, 2016 - 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.

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