Individual provider · Type 1 NPI
Tracee Jon Dahlke, NURSE PRACTITIONER
Family Nurse Practitioner · Corvallis, OR
NPI number
1962038018
Active
Practice location
320 SW 2nd St
Corvallis, OR 97333-4632
Mailing address
32949 Wildrose Dr
Tangent, OR 97389-9518
Other practice locations
- 8855 SW Holly Ln Ste 100, Wilsonville, OR 97070-8792 · (808) 265-5970
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Nurse Practitioner | 363LS0200X | 201509445RN (OR) |
| Family Nurse Practitioner Primary | 363LF0000X | 202202434NP-PP (OR) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1962038018
Tracee Jon Dahlke, NURSE PRACTITIONER's National Provider Identifier is 1962038018, issued on Mar 20, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Corvallis, OR. The record was last updated on Mar 16, 2022.