TRACY LEE STEVENS

PORTLAND, OR
NPI1760043673
Former NameTRACY LEE PERRY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: OR  201901674NP-PP)
Additional Taxonomies363LW0102X Nurse Practitioner, Women's Health
(Licence: OR  201903006NP-PP)
Enumeration Date2019-06-23
Last Update Date2019-06-23
Business Address
TRACY LEE STEVENS CNM/WHNP
2222 NE 130TH AVE
PORTLAND, OR 97230-1705
Phone number: 503-754-6296
Mailing Address
TRACY LEE STEVENS CNM/WHNP
2222 NE 130TH AVE
PORTLAND, OR 97230-1705
Phone number: 503-754-6296