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Tyron Tracy, PA-C
Medical Physician Assistant in Oregon City, Oregon
NPI 1295176923

Tyron Tracy is a Medical Physician Assistant based in Portland, OR and is specialized in Medical. Tyron Tracy practices in Oregon City, OR and has the professional credentials of PA-C. The NPI Number for Tyron Tracy is 1295176923 and holds a License No. PA170039 (Oregon).

The current practice location address for Tyron Tracy is 728 Molalla Ave Ste A&B, Oregon City, OR and can be reached out via phone at 503-656-9030.

Location: 728 Molalla Ave Ste A&B, Oregon City, OR, 97223-2302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295176923
Provider Name
Tyron Tracy
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
728 Molalla Ave Ste A&B, Oregon City, OR, 97223-2302
Phone Number
503-656-9030
Fax Number
Provider Enumeration Date
07/10/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500683842 05 OR
institution
Provider Business Practice Location Address Details
Address
728 Molalla Ave Ste A&B
City
Oregon City
State
Oregon
Zip
97045-2799
Phone Number
503-656-9030
Fax Number
person
Provider Business Mailing Address Details
Address
728 Molalla Ave Ste A&B
City
Oregon City
State
Oregon
Zip
97045-2799
Phone Number
503-656-9030
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA170039 (Oregon)
Definition
Definition to come...
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