NPI 1588427314
Traci L Crockett-Tully, CPCCCS
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
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.