Peck, Tracy Jeanne

Peck, Tracy Jeanne is an sole proprietor health care provider with primary practice located at 9000 Se Sunnyside Rd , Clackamas OR 97015-9758. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Peck, Tracy Jeanne can be contacted via phone (503) 813-2000.

Contact Information

Primary practice address
9000 Se Sunnyside Rd Clackamas OR 97015-9758
Phone: (503) 813-2000
Fax: (503) 571-3418
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A107878 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 60236668 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD152995 Oregon

Profile Details

NPI number 1073748638
LBN Legal business name Peck, Tracy Jeanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2009
Last updated Apr 13th, 2020 - about 6 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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