TRACY BAZAN

PORTLAND, OR
NPI1487073789
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0008X Psychiatry & Neurology Neuromuscular Medicine
(Licence: OR  MD187129)
Additional Taxonomies2084N0400X Psychiatry & Neurology Neurology
(Licence: OR  MD187129)
Enumeration Date2014-04-15
Last Update Date2022-11-25
Business Address
TRACY BAZAN MD
5050 NE HOYT ST STE 315
PORTLAND, OR 97213-2982
Phone number: 503-215-8580
Mailing Address
TRACY BAZAN MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494