IndividualActive
Tracy Wang
NPI 1023722774 · Certified Registered Nurse Anesthetist · Clackamas, OR
Provider details
- NPI number
- 1023722774
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 10054809 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Nursing Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10180 Se Sunnyside Rd
Clackamas, OR 97015-8970
Phone: (800) 813-2000
Street-level locationGet directions
Mailing address
500 Ne Multnomah St Ste 100
Portland, OR 97232-2099
Additional practice locations (1)
- 3500 Victoria St # 360aPittsburgh, PA 15213-2543Phone: (412) 624-4860
Registry dates
- Enumerated
- 2023-01-09
- Last updated
- 2026-04-21
- Certified
- 2026-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.