Tracie Campbell, RDN is a
Dietitian, Registered based in Prineville, Oregon. Tracie Campbell is licensed to practice in Oregon (license number LD-D-10200368) and her current practice location is
384 Se Combs Flat Rd, Prineville, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 460-4088.
NPI number for Tracie Campbell is 1568056687 and her current mailing address is 384 Se Combs Flat Rd, Prineville, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568056687.
Healthcare Provider's Profile
Full Name | Tracie Campbell |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 384 Se Combs Flat Rd, Prineville, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568056687
- Provider Enumeration Date: 03/01/2021
- Last Update Date: 03/01/2021
Medical Identifiers
Medical identifiers for Tracie Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568056687 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 527628 (Oregon) | Secondary |
133V00000X | Dietitian, Registered | LD-D-10200368 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tracie Campbell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tracie Campbell, RDN 384 Se Combs Flat Rd, Prineville, OR 97754-2562 Ph: (541) 460-4088 | Tracie Campbell, RDN 384 Se Combs Flat Rd, Prineville, OR 97754-2562 Ph: (541) 460-4088 |
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