Tracey Diona Amlin, FNP - Nurse Practitioner in Portland, OR

Tracey Diona Amlin, FNP is a Nurse Practitioner - Family based in Portland, Oregon. Tracey Diona Amlin is licensed to practice in Oregon (license number 201505843NP-PP) and her current practice location is 4340 N Interstate Ave, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 215-1444.

NPI number for Tracey Diona Amlin is 1659653277 and her current mailing address is Po Box 3158, Portland, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659653277.

Contact Information

Tracey Diona Amlin, FNP
4340 N Interstate Ave,
Portland, OR 97217-3211
(503) 215-1444
Not Available

Map and Direction




Provider's Profile

Full NameTracey Diona Amlin
GenderFemale
SpecialityNurse Practitioner - Family
Location4340 N Interstate Ave, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1659653277
  • Provider Enumeration Date: 09/10/2011
  • Last Update Date: 07/21/2016

Medical Identifiers

Medical identifiers for Tracey Diona Amlin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659653277NPI-NPPES
500699841MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 12645NP (Ohio)Secondary
363LF0000XNurse Practitioner - Family 201505843NP-PP (Oregon)Primary
363LF0000XNurse Practitioner - Family AP60645755 (Washington)Secondary

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. Tracey Diona Amlin 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 AddressPractice Location Address
Tracey Diona Amlin, FNP
Po Box 3158,
Portland, OR 97208-3158

Ph: () -
Tracey Diona Amlin, FNP
4340 N Interstate Ave,
Portland, OR 97217-3211

Ph: (503) 215-1444

Reviews and Comments


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