Tracy Winn is the Sr. Medical Director of Addiction Services at Cascadia Health in Portland, Oregon. Tracy is a psychiatric-mental health nurse practitioner who is also certified in advanced practice addictions (CARN-AP). She has worked at Cascadia for a decade in various programs and was an early adopter in providing medications for opiate use disorder when it first launched at Cascadia in 2016. She developed her specialization in treating co-occurring mental health and substance use disorders at both Cascadia and Central City Concern, before being promoted to Sr Medical Director of Addictions at Cascadia in September 2023. Tracy is a passionate advocate for low/no barrier and harm reduction approaches in the care of persons who use drugs, as well as pushing for true integration in the treatment of co-occurring disorders.