Individual provider · Type 1 NPI

Tracy Lynn Prevost, LMT

Chiropractor · Beaverton, OR

NPI number 1578816286 Active

Practice location

15050 SW Koll Pkwy
Beaverton, OR 97006-6001

Call (503) 439-9494 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X3244 (OR)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

2 other providers at this address

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About NPI 1578816286

Tracy Lynn Prevost, LMT's National Provider Identifier is 1578816286, issued on Oct 18, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Beaverton, OR. The record was last updated on Oct 18, 2012.