Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jared Tracy, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1467831123

Jared Tracy, CCC-SLP is a Speech-Language Pathologist in Medford, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2015
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1801 Poplar Dr Apt 64
Medford, OR 97504-4677
Phone: (503) 939-3445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 15138 (OR)

Record details

NPI number1467831123
Entity typeIndividual (Type 1)
GenderMale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedMay 27, 2015
Last updated in NPPESMay 27, 2015
Mailing address1801 Poplar Dr Apt 64, Medford, OR 97504-4677

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