Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACY ANDERMAN
Active Sole ProprietorResidential Treatment, Emotionally Disturbed Children · BEND, OR
Registration Details
- NPI Number
- 1184485922
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 18, 2024 (2.2570649704794 yrs)
- Last Updated
- Jan 18, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
61850 DOBBIN RDBEND, OR, 977029536Browse OR providers · Browse ZIP 97702
- Phone
- 5413891985
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.