Chance, Stacy Ryan

Chance, Stacy Ryan is an individual health care provider with primary practice located at 330 S Garden Way Suite 350, Eugene OR 97401-8176. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Chance, Stacy Ryan can be contacted via phone (541) 746-6816.

Contact Information

Primary practice address
330 S Garden Way Suite 350 Eugene OR 97401-8176
Phone: (541) 746-6816
Fax: (541) 726-3177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD26858 Oregon
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD26858 Oregon

Profile Details

NPI number 1356399190
LBN Legal business name Chance, Stacy Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Oct 9th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356399190 NPPES
Oregon MEDICAID 240134

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