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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295176923 | NPPES |
Oregon | MEDICAID | 500683842 |
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