Individual
TRACEY LEE LOUDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MN, RN, CNS, CCNS
Contact information
Practice address
32100 SE CHIN ST, BORING, OR 97009-9776
(503) 663-0295
Mailing address
32100 SE CHIN ST, BORING, OR 97009-9776
(503) 663-0295
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
201070010CNS
OR
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
201070010CNS
OR
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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