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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRACY LYNNE BRUNKHORST

Active Sole Proprietor

TRACY LYNNE BRUNKHORST is a Dental Hygienist healthcare provider located in BORING, Oregon. NPI 1205400256 is currently active in the NPPES registry. Verify at CMS.

Dental Hygienist · BORING, OR

Registration Details

NPI Number
1205400256
Provider Type
Individual
Gender
Female
NPI Issued
May 14, 2021 (5.2299188692421 yrs)
Last Updated
May 14, 2021
License
H7355 (OR)
Sole Proprietor
Yes

Practice Information

Address
26551 SE WALLY RD
BORING, OR, 970098487
Browse OR providers · Browse ZIP 97009
Phone
6124195891
Primary Specialty
Dental Hygienist
124Q00000X
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.