Tracy, Tyron

Tracy, Tyron is an individual health care provider with primary practice located at 728 Molalla Ave Ste A&B , Oregon City OR 97045-2799. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Tracy, Tyron can be contacted via phone (503) 656-9030.

Contact Information

Primary practice address
728 Molalla Ave Ste A&B Oregon City OR 97045-2799
Phone: (503) 656-9030
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA170039 Oregon

Profile Details

NPI number 1295176923
LBN Legal business name Tracy, Tyron
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2013
Last updated Mar 25th, 2020 - about 4 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 1295176923 NPPES
Oregon MEDICAID 500683842

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