Individual
TRACY WINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10373 NE HANCOCK ST, PORTLAND, OR 97220-3873
(503) 238-0769
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201392863RN
OR
163WP0808X
Psychiatric/Mental Health Registered Nurse
201392863RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201507677NP-PP
OR
Other
Enumeration date
06/19/2014
Last updated
10/07/2015
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