Tracy, Alexis A

Tracy, Alexis A is an individual health care provider with primary practice located at 70 Bower Dr Ste 240 , Medford OR 97501-3689. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Tracy, Alexis A can be contacted via phone (541) 732-8360.

Contact Information

Primary practice address
70 Bower Dr Ste 240 Medford OR 97501-3689
Phone: (541) 732-8360
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 2580 West Virginia
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 52236-24 Wisconsin
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 59109 Colorado
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X DO210290 Oregon

Profile Details

NPI number 1689870750
LBN Legal business name Tracy, Alexis A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2007
Last updated Jun 8th, 2022 - about 3 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 1689870750 NPPES
Oregon MEDICAID 500806720

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