SearchOregon124Q00000X

Tracy Brunkhorst

NPI 1205400256 · on the registry since 2021 · sole proprietor

Practice

Address
26551 Se Wally Rd
Boring, OR 97009
Phone
(612) 419-5891

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-05-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon