Tracey Kathleen Tracy in La Grande - Family Medicine

Tracey Kathleen Tracy - NPI 1073760955

Tracey Kathleen Tracy is a Family Medicine in La Grande, Oregon. Tracey Kathleen Tracy practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Tracey Kathleen Tracy is 1073760955. The last update date is 2022-04-05.

Tracey Kathleen Tracy's current location address is 506 4th St, La Grande, Oregon. You can contact this provider via phone number 5416633138 and fax number 5419755120. The mailing address for Tracey Kathleen Tracy is 506 4th St, La Grande, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracey Kathleen Tracy
Address 506 4th St, La Grande, Oregon
Phone Number 5416633138
Fax Number 5419755120
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1073760955
Provider Enumeration Date 2008-08-22
Last Updated Date 2022-04-05

Provider Mailing Address Detail

Address 506 4th St
City La Grande
State Oregon (OR)
Post Code 978501906
Phone Number 5416633138
Fax Number 5419755120

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No MD151037
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
500620109 OR --
P00965892 OR RR MEDICARE

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FAQs about Tracey Kathleen Tracy

What is the unique 10-digit identifier code issued to Tracey Kathleen Tracy by the Centers for Medicare & Medicaid Services?

The Tracey Kathleen Tracy has been assigned the NPI (National Provider Identifier) 1073760955 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Tracey Kathleen Tracy located?

The Tracey Kathleen Tracy is located at 506 4Th St, La Grande, OR 978501906.

What is Tracey Kathleen Tracy's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Tracey Kathleen Tracy is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1073760955 to Tracey Kathleen Tracy?

The Centers for Medicare & Medicaid Services assigned the 1073760955 to Tracey Kathleen Tracy on 2008-08-22.

As of what date was the information regarding Tracey Kathleen Tracy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Tracey Kathleen Tracy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-04-05.

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