Damazo, Stacey Ann

Damazo, Stacey Ann is an sole proprietor health care provider with primary practice located at 3303 S Bond Ave , Portland OR 97239-4501. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / School. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Damazo, Stacey Ann can be contacted via phone (503) 494-1775.

Contact Information

Primary practice address
3303 S Bond Ave Portland OR 97239-4501
Phone: (503) 494-1775
Fax: (503) 494-4749
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2020012418 Oregon
Physician Assistants & Advanced Practice Nursing Providers / School 363LS0200X 2020012418 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 202011147NP-PP Oregon

Profile Details

NPI number 1619562170
LBN Legal business name Damazo, Stacey Ann
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2021
Last updated Feb 4th, 2022 - about 4 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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