TRACY LEON WISE NPI 1699920462

NPI Information

  • NPI: 1699920462
  • Provider Name: TRACY LEON WISE
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 3575 DONALD ST
    STE 600
    EUGENE, OR
    ZIP 97405
  • Phone: (541) 520-8633

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NPI Details

Tracy Leon Wise is a mental health counselor in Eugene, OR. Tracy Leon Wise NPI is 1699920462. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3575 DONALD ST
STE 600
EUGENE, OR
ZIP 97405-753
Phone: (541) 520-8633

The enumeration date for this NPI number is 11/20/2008 and was last updated on 1/31/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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