| Doctor Name: | MRS. TRACY LYNN CLASON |
| NPI Number: | 1003991209 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | AP30007537 |
| Business Practice Address: | 108 Se 124th Ave Suite 22 Vancouver, WA - 986846015 |
| Business Phone Number: | 3608827603 |
| Business Fax Number: | 3608960337 |
| Mailing Address: | 18208 Se 41st Way, VANCOUVER |
| State: | WA |
| Postal Code: | 986838280 |
| Phone Number: | 3607716493 |
| Fax Number: | |
| NPI Enumeration Date: | 10/26/2006 |
| NPI Last Update Date: | 03/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | AP30007537 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |