Whalio Doctors

NPI 1073748638

Tracy Jeanne Peck, MD

Practitioner Pediatrics Physician Clackamas, OR

Practice location

Address
9000 SE Sunnyside Rd, Clackamas, OR 97015-9758
Phone
(503) 813-2000
Fax
(503) 571-3418

Registered specialties (3)

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence MD152995 (OR)
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence A107878 (CA)
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 60236668 (WA)

Registry record

NPI
1073748638
Entity type
Individual
Sex (as registered)
Female
NPI issued
26 May 2009
Record last updated
13 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.