Traci A Ackron, D.O.
Individual provider Active NPI Family Medicine Physician · Hillsboro, OR
NPI 1336588789 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1336588789
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5101021519 (MI)
- Practice address
- 10670 NE Cornell Rd Ste 300
Hillsboro, OR 97124 - Phone
- (503) 216-9300
- NPI assigned
- Jun 19, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Providence Health and Services Oregon
Practice addresses (Care Compare)
10670 NE Cornell Rd
Hillsboro, OR 97124-9221
1321 NE 99TH Ave
Suite 200
Portland, OR 97220-9439
Phone (503) 215-4250
200 S Hazel Dell Way
Canby, OR 97013-7829
Phone (203) 263-9500
5050 NE Hoyt St
Suite 240
Portland, OR 97213-2981
Phone (503) 215-6480
Hospital & facility affiliations
- Providence Home Health
- Providence St Vincent Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190701001967 | OR | Practitioner - Family Practice | 3375836455 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current |
Accepting new patients | |
| Providence Health & Services - Oregon | Family Medicine | Current |
Accepting new patients |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Family Medicine | Past | Accepting new patients |
Locations
200 S Hazel Dell Way
Canby, OR 97013
Phone (203) 263-9500
9290 SE Sunnybrook Blvd
Ste 210
Clackamas, OR 97015
Phone (503) 216-7960
10670 NE Cornell Rd
Ste 300
Hillsboro, OR 97124
Phone (503) 216-9300
1321 NE 99th Ave
Ste 100
Portland, OR 97220
Phone (503) 215-4050
5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480
960 N 16th St
Ste 304
Springfield, OR 97477
Phone (541) 744-6172
12442 SW Scholls Ferry Rd
Ste 100
Tigard, OR 97223
Phone (503) 215-9900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101021519 | MI | Yes |
Addresses
Primary practice location
10670 NE Cornell Rd Ste 300
Hillsboro, OR 97124
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494
Other practice location 1
28800 Ryan Rd
Warren, MI 48092
Phone (586) 558-2860
Other practice location 2
28800 Ryan Rd
Warren, MI 48092
Phone (586) 558-2860
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tackron423769@oc.providencedirect.org |
Other providers in Hillsboro, OR
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All providers in Hillsboro, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.