TRACEY LEE LOUDON (NPI# 1154631612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154631612 |
| Entity Type | Individual |
| Full Name | TRACEY LEE LOUDON |
| Other Name | TRACEY LEE CONNER |
| Credential | MN, RN, CNS, CCNS |
| Practice Address |
32100 Se Chin St Boring OR 97009-9776 |
| Practice Telephone | 5036630295 |
| Mailing Telephone | 5036630295 |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364S00000X | Clinical Nurse Specialist | 201070010CNS | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SA2100X |
Clinical Nurse Specialist Specialization: Acute Care |
201070010CNS | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
32100 SE CHIN ST |
| City | BORING |
| State | OR |
| Zip Code | 97009-9776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588849632 | Shannon Elaine Hall | Mechanotherapist | 38101 S.e. Lusted Rd., Boring, OR 97009 | 2008-01-08 |
| 1477877678 | Ronda Marie Wincer | Student in an Organized Health Care Education/Training Program | 14105 Se Richey Rd, Boring, OR 97009-8105 | 2010-03-17 |
| 1669834578 | Jasmine Stein | Behavioral Analyst | 25053 Se Highway 224, Boring, OR 97009-8157 | 2016-03-22 |
| 1972878643 | Michelle Christine Fitzpatrick | Technician, Other | 34175 Se Brooks Rd, Boring, OR 97009-8710 | 2012-03-14 |
| 1114219110 | Athena Wrennette Rolph | Massage Therapist | 11943 Se 362nd Ave, Boring, OR 97009-8720 | 2011-05-09 |
| 1871856054 | Peggy Margaret Moran | Massage Therapist | 28150 Se Highway 212, Suite A, Boring, OR 97009-9100 | 2012-06-21 |
| 1598701419 | Kimila Denise Orth | Registered Nurse | 26951 Se Forrester Rd, Boring, OR 97009-9114 | 2006-06-20 |
| 1164740775 | Kirsten Meik | Massage Therapist | 27424 Se Fireman Way, Boring, OR 97009-9341 | 2010-05-06 |
| 1023322096 | William P Mehan | Naturopath | 27636 Se Haley Rd, Boring, OR 97009-9407 | 2010-08-03 |
| 1730483801 | Sherry Williams | Registered Nurse | 35243 Se Crescent Rd, Boring, OR 97009-9522 | 2011-01-04 |
| Find all providers in zip 97009 | ||||
| Taxonomy Code | 364SA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942733985 | Lyudmila G Sklyarenko | Clinical Nurse Specialist | 14320 Sw 134th Dr, Tigard, OR 97224-1745 | 2017-04-06 |
| 1871733584 | Victoria Lee Church | Clinical Nurse Specialist | 3710 Sw Veterans Hospital Rd, P2ms, Portland, OR 97239-2964 | 2009-02-20 |
| 1770697781 | Christine L Locke | Clinical Nurse Specialist | 3710 Sw Veterans Hospital Rd, Portland, OR 97201 | 2006-08-18 |
Please comment or provide details below to improve the information on TRACEY LEE LOUDON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.