Tracy Virginia Graham

NPI #1104657071 in Happy Valley, Oregon

Provider Information

NPI Number
1104657071
Entity Type
Individual
Name
Tracy Virginia Graham
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Attendant Care Provider
Enumeration Date
Aug 12, 2024
Last Updated
Aug 12, 2024

Practice Location

Address
11286 SE STEVENS RD # A307
State
Oregon
ZIP Code
97086-7640
Phone
(503) 267-5403

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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