Whalio Doctors

NPI 1588427314

Traci L Crockett-Tully, CPCCCS

Practitioner Health Information Technician Grants Pass, OR

Practice location

Address
1037 Jeramy Way, Grants Pass, OR 97527-5112
Phone
(541) 659-2224
Fax
(541) 787-6117

Registered specialties

Health Information Technician Primary
Technologists, Technicians & Other Technical Service Providers Taxonomy 247000000X Licence 2223353-90 (OR)

Registry record

NPI
1588427314
Entity type
Individual
Sex (as registered)
Female
NPI issued
5 Feb 2024
Record last updated
5 Feb 2024

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.