Stas, Venessa

Stas, Venessa is an individual health care provider with primary practice located at 11782 Sw Barnes Rd Suite 300, Portland OR 97225-5914. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is her primary health care specialty. Stas, Venessa can be contacted via phone (503) 214-5200.

Contact Information

Primary practice address
11782 Sw Barnes Rd Suite 300 Portland OR 97225-5914
Phone: (503) 214-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD151642 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD151642 Oregon
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X MD151642 Oregon
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD151642 Oregon

Profile Details

NPI number 1720219058
LBN Legal business name Stas, Venessa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2009
Last updated May 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720219058 NPPES
Oregon Other MD151642 MEDICAL LICENSE
Oregon MEDICAID 500634378 MEDICAL LICENSE

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