Tracey Lee Loudon, MN, RN, CNS, CCNS
Individual provider Active NPI Acute Care Clinical Nurse Specialist · Boring, OR
NPI 1154631612 · NPPES record last updated Oct 18, 2010
Key facts
- NPI
- 1154631612
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Clinical Nurse Specialist 364SA2100X
- License
- 201070010CNS (OR)
- Practice address
- 32100 SE Chin St
Boring, OR 97009-9776 - Phone
- (503) 663-0295
- NPI assigned
- Oct 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Certified Nurse Specialist, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201070010CNS | OR | MD | Clinical Nurse Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 201070010CNS | OR | |
| Acute Care Clinical Nurse Specialist | 364SA2100X | 201070010CNS | OR | Yes |
Addresses
Primary practice location
32100 SE Chin St
Boring, OR 97009-9776
Mailing address
32100 SE Chin St
Boring, OR 97009-9776
Phone (503) 663-0295
Other names
- Tracey Lee Conner
Other providers in Boring, OR
- Tracy Lynne Brunkhorst
- Gloria Cooper
- Michelle Christine Fitzpatrick
- Lynette Patricia Holm
- Jessica Long
- Medarian LLC
- Medarian LLC
- Medexa LLC
- Medovia LLC
- William P Mehan
All providers in Boring, OR · Acute Care Clinical Nurse Specialist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.