| Doctor Name: | TRACY CANDACE W. DEGENSTEIN |
| NPI Number: | 1003895533 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APNP |
| License Number: | AP30004407 |
| Business Practice Address: | 1800 Nw Carden Ave Pendleton, OR - 978011185 |
| Business Phone Number: | 5419663857 |
| Business Fax Number: | 5419663857 |
| Mailing Address: | 1800 Nw Carden Ave, PENDLETON |
| State: | OR |
| Postal Code: | 978011185 |
| Phone Number: | 5419663857 |
| Fax Number: | 5419663900 |
| NPI Enumeration Date: | 01/12/2006 |
| NPI Last Update Date: | 11/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | AP30004407 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |