NPI 1427102276 · live from the CMS NPI Registry
Tracy Herion, D.D.S, M. S.
Dentist, Orthodontics and Dentofacial Orthopedics in Portland, OR. National Provider Identifier 1427102276, active.
NPI record
| NPI | 1427102276 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 8931 Se Foster Rd, Portland, OR 97266 |
| Practice phone | 855-433-6825 |
| Mailing address | 6950 Ne Campus Way, Hillsboro, OR 97124 |
| Enumerated | January 22, 2007 |
| Last updated | February 18, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | DE60019068 (WA) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | D8129 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.