Tracy Lynne Brunkhorst

NPI #1205400256 in Boring, Oregon

Provider Information

NPI Number: 1205400256
Entity Type: Individual
Name: Tracy Lynne Brunkhorst
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Enumeration Date: May 14, 2021
Last Updated: May 14, 2021

Practice Location

Address: 26551 SE WALLY RD
City: Boring
State: Oregon
ZIP Code: 97009-8487
Phone: (612) 419-5891

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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