TRACY NICOLE BUMSTED

PORTLAND, OR
NPI1467467969
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: OR  MD24185)
Enumeration Date2006-07-31
Last Update Date2007-08-24
Business Address
TRACY NICOLE BUMSTED MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-418-5700
Mailing Address
TRACY NICOLE BUMSTED MD
707 SW GAINES ST CDRC-P
PORTLAND, OR 97239-2901
Phone number:
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