Tracy, Tyron
Tracy, Tyron is an individual health care provider with primary practice located at 4915 Sw Griffith Dr Ste 304 , Beaverton OR 97005-2933. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Tracy, Tyron can be contacted via phone (503) 620-5614.Contact Information
Primary practice address
4915 Sw Griffith Dr Ste 304
Beaverton OR 97005-2933
Phone: (503) 620-5614
Fax: (503) 598-4688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 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 | Nov 26th, 2024 - about 2 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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