Winters, Stacey Leigh

Winters, Stacey Leigh is an individual health care provider with primary practice located at 2700 Se Stratus Ave Unit 405 , Mcminnville OR 97128-6258. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Winters, Stacey Leigh can be contacted via phone (971) 287-5111.

Contact Information

Primary practice address
2700 Se Stratus Ave Unit 405 Mcminnville OR 97128-6258
Phone: (971) 287-5111
Fax: (503) 472-0127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OP60176915 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X DO173291 Oregon

Profile Details

NPI number 1619942331
LBN Legal business name Winters, Stacey Leigh
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Sep 28th, 2020 - about 6 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 1619942331 NPPES
Washington MEDICAID 1619942331
Washington Other 025904

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