Mrs. Tracy Lynn Clason
Nurse Practitioner - Psychiatric/Mental Health
108 Se 124th Ave Suite 22
Vancouver
, Washington 98684-6015
Mrs. Tracy Lynn Clason
Nurse Practitioner - Psychiatric/Mental Health
108 Se 124th Ave Suite 22
Vancouver
, Washington 98684-6015
(360) 771-6493
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Mrs. Tracy Lynn Clason
- 18208 Se 41st Way
- Vancouver, WA
- Zip : 98683-8280
- Phone : (360) 771-6493
Second Address
- Mrs. Tracy Lynn Clason
- 108 Se 124th Ave Suite 22
- Vancouver, WA
- Zip : 98684-6015
- Fax : (360) 896-0337
- Phone : (360) 882-7603
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP30007537 | WA |
National Provider Identifier
| NPI | 1003991209 |
|---|---|
| Provider Name | Mrs. Tracy Lynn Clason |
| First Address | Vancouver, WA 98683-8280 |
| Second Address | Vancouver, WA 98684-6015 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/10/2006 |
| Last Update Date | 27/03/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.