person
Stacey L Wilson, CNM
Obstetrics & Gynecology Nurse Practitioner in Beaverton, Oregon
NPI 1629102272

Stacey L Wilson is a Obstetrics & Gynecology Nurse Practitioner based in Portland, OR and is specialized in Obstetrics & Gynecology. Stacey L Wilson practices in Beaverton, OR and has the professional credentials of CNM. The NPI Number for Stacey L Wilson is 1629102272 and holds a License No. OR 200050017NP (Oregon).

The current practice location address for Stacey L Wilson is 4855 Sw Western Ave, Beaverton, OR and can be reached out via phone at 503-626-5515. You can also correspond with Stacey L Wilson through the mailing address at 8646 NW SKYLINE BLVD, PORTLAND, OR - 97231-2618 (mailing address contact number: ).

Location: 4855 Sw Western Ave, Beaverton, OR, 97231-2618
person
Provider Profile Details
NPI Number
1629102272
Provider Name
Stacey L Wilson
Credential
CNM
Provider Entity Type
Individual
Gender
Female
Address
4855 Sw Western Ave, Beaverton, OR, 97231-2618
Phone Number
503-626-5515
Fax Number
Provider Enumeration Date
03/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4855 Sw Western Ave
City
State
Zip
97005-3460
Phone Number
503-626-5515
Fax Number
person
Provider Business Mailing Address Details
Address
8646 Nw Skyline Blvd
City
State
Zip
97231-2618
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
License No.
OR 200050017NP (Oregon)
Definition
Definition to come...
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