Waters, Tracy
Waters, Tracy is an sole proprietor health care provider with primary practice located at 2036 Main St Suite 204, Forest Grove OR 97116-2374. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Waters, Tracy can be contacted via phone (503) 359-1515.Contact Information
Primary practice address
2036 Main St Suite 204
Forest Grove OR 97116-2374
Phone: (503) 359-1515
Fax: (503) 359-1433
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | OR SWL 1361 | Oregon |
Profile Details
| NPI number | 1487723607 |
|---|---|
| LBN Legal business name | Waters, Tracy |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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