TRACY L BUSEMAN-CARLSTROM

PORTLAND, OR
NPI1104334952
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2018-01-15
Last Update Date2018-01-15
Business Address
TRACY L BUSEMAN-CARLSTROM
5211 NE GLISAN ST BLDG C
PORTLAND, OR 97213-3052
Phone number: 503-869-4228
Mailing Address
TRACY L BUSEMAN-CARLSTROM
9580 SW WASHINGTON PL
PORTLAND, OR 97225-6936
Phone number: 503-869-4228
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