TRACEY DIONA AMLIN

PORTLAND, OR
NPI1659653277
Former NameTRACEY DIONA SINCLAIR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: OR  201505843NP-PP)
Additional Taxonomies363LF0000X Nurse Practitioner Family
(Licence: OH  12645NP)
363LF0000X Nurse Practitioner Family
(Licence: WA  AP60645755)
Enumeration Date2011-09-10
Last Update Date2016-07-21
Business Address
TRACEY DIONA AMLIN FNP
4340 N INTERSTATE AVE
PORTLAND, OR 97217-3211
Phone number: 503-215-1444
Mailing Address
TRACEY DIONA AMLIN FNP
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: