Stacy R. Hampton in Lake Oswego - Physician Assistant
Stacy R. Hampton - NPI 1104016500
Stacy R. Hampton is a Physician Assistant in Lake Oswego, Oregon. Stacy R. Hampton practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stacy R. Hampton is 1104016500. The last update date is 2016-02-02.
Stacy R. Hampton's current location address is 16869 65th Ave # 287, Lake Oswego, Oregon. You can contact this provider via phone number 5418081093 and fax number 5417382106. The mailing address for Stacy R. Hampton is 16869 65th Ave # 287, Lake Oswego, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy R. Hampton |
|---|---|
| Address | 16869 65th Ave # 287, Lake Oswego, Oregon |
| Phone Number | 5418081093 |
| Fax Number | 5417382106 |
| Sole Proprietor | Y |
| Credentials | PHARM.D., |
NPI Number Detail
| NPI Number | 1104016500 |
|---|---|
| Provider Enumeration Date | 2007-07-31 |
| Last Updated Date | 2016-02-02 |
Provider Mailing Address Detail
| Address | 16869 65th Ave # 287 |
|---|---|
| City | Lake Oswego |
| State | Oregon (OR) |
| Post Code | 970357865 |
| Phone Number | 5418081093 |
| Fax Number | 5417382106 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA152548 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code issued to Stacy R. Hampton by the Centers for Medicare & Medicaid Services?
The Stacy R. Hampton has been assigned the NPI (National Provider Identifier) 1104016500 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Stacy R. Hampton?
The Stacy R. Hampton is physically situated at 16869 65Th Ave # 287, in the city of Lake Oswego, state of OR, with the postal code 970357865.
What is Stacy R. Hampton's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Stacy R. Hampton is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date was the 1104016500 assigned to Stacy R. Hampton?
The Stacy R. Hampton was issued its 1104016500 on 2007-07-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Stacy R. Hampton, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stacy R. Hampton, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-02-02.
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