TRACY DODGE

PORTLAND, OR
NPI1679023519
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OR  PA190591)
Enumeration Date2016-10-04
Last Update Date2019-07-11
Business Address
TRACY DODGE PA-C, MPH
727 W BURNSIDE ST
PORTLAND, OR 97209-3514
Phone number: 503-228-4533
Mailing Address
TRACY DODGE PA-C, MPH
727 W BURNSIDE ST
PORTLAND, OR 97209-3514
Phone number: 503-228-4533
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