TRACY FILLEY (NPI# 1396148904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396148904 |
| Entity Type | Individual |
| Full Name | TRACY FILLEY |
| Credential | PMHNP |
| Practice Address |
18840 Sw Boones Ferry Rd Suite 208 Tualatin OR 97062 |
| Mailing Address |
Po Box 16308 Portland OR 97292 |
| Practice Telephone | 5034272394 |
| Practice Fax Number | 5034540763 |
| Mailing Telephone | 5034272394 |
| Mailing Fax Number | 5034540763 |
| Enumeration Date | 2014-09-28 |
| Last Update Date | 2017-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
201405875NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
18840 SW BOONES FERRY RD SUITE 208 |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164910725 | Katherine Anne Mcduffee | Nurse Practitioner | 18840 Sw Boones Ferry Rd, Tualatin, OR 97062 | 2018-04-28 |
| 1730612540 | Amber K Wilson | Nurse Practitioner | 18840 Sw Boones Ferry Rd, Tualatin, OR 97062-9594 | 2017-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
| 1932607934 | Naturalways Pediatrics | Clinic/Center | 18813 Sw Martiazzi Ave, Tualatin, OR 97062 | 2018-01-25 |
| 1831646280 | Elizabeth Erin Tafesse | Behavioral Analyst | 18765 Sw Boones Ferry Rd Suite 100, Tualatin, OR 97062 | 2016-09-01 |
| 1962851311 | Ana Mercedes Cerritos-sanchez | Community Health Worker | 19355 Sw 65th Ave Apt A5, Tualatin, OR 97062 | 2016-06-07 |
| 1952759318 | William Luke Summers | Counselor | 18840 Southwest Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2016-05-26 |
| 1730536913 | Krystle Alligood | Behavioral Analyst | 18768 Sw Boones Ferry Road, Tualatin, OR 97062 | 2016-05-18 |
| 1760869739 | Oregon City Medical Nw, Inc | Clinic/Center | 6464 Sw Borland Road #d-4, Tualatin, OR 97062 | 2015-04-29 |
| 1043646474 | Michelle Lords | Registered Nurse | 7668 Sw Mohawk Street, Tualatin, OR 97062 | 2013-09-17 |
| 1871930750 | Sharon Ruth Frank | Social Worker | 7668 Sw Mohawk St., Aps Healthcare, Tualatin, OR 97062 | 2013-05-31 |
| 1437499852 | Tualatin Modern Dentistry,pc | Dentist | 7017 Sw Nyberg Street, Tualatin, OR 97062 | 2013-02-21 |
| Find all providers in zip 97062 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851603971 | Phyllis Marcia Cronin | Clinical Nurse Specialist | 6525 Ne. Mallory Avenue, Portland, OR 97211-2421 | 2010-07-06 |
| 1861590036 | Wendy Hill Park | Clinical Nurse Specialist | 1892 Willamette St, Eugene, OR 97401-4044 | 2006-09-20 |
| 1023566015 | Caitlin Margitan | Clinical Nurse Specialist | 847 Ne 19th Ave Suite 100, Portland, OR 97232-2684 | 2016-09-19 |
| 1316186851 | Mary Catherine King | Clinical Nurse Specialist | 9155 Sw Barnes Rd, Suite 418, Portland, OR 97225-6625 | 2009-02-06 |
| 1134371859 | Sarah Parshley | Clinical Nurse Specialist | 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-2941 | 2008-10-13 |
| 1376734392 | 'alice Louise Kamm | Clinical Nurse Specialist | 2133 Ne Broadway, Portland, OR 97232-1878 | 2007-08-06 |
| 1316146624 | James Joseph Devaney | Clinical Nurse Specialist | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2007-07-16 |
| 1467575571 | Harley G Klein | Clinical Nurse Specialist | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2007-04-06 |
| 1215071253 | Nancy Davis Hodges | Clinical Nurse Specialist | 1130 Sw Morrison St, Suite 619, Portland, OR 97205-2234 | 2007-02-15 |
| 1730233529 | Shelby Ann Sanford | Clinical Nurse Specialist | 1181 Sw Ramsey Ave, Grants Pass, OR 97527-5835 | 2007-01-22 |
| Find all providers with the same taxonomy | ||||
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| 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.