Stacey L Wilson in Beaverton - Obstetrics & Gynecology
Stacey L Wilson - NPI 1629102272
Stacey L Wilson is a Obstetrics & Gynecology in Beaverton, Oregon. Stacey L Wilson practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Stacey L Wilson is 1629102272. The last update date is 2008-04-29.
Stacey L Wilson's current location address is 4855 Sw Western Ave, Beaverton, Oregon. You can contact this provider via phone number 5036265515. The mailing address for Stacey L Wilson is 4855 Sw Western Ave, Beaverton, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey L Wilson |
|---|---|
| Address | 4855 Sw Western Ave, Beaverton, Oregon |
| Phone Number | 5036265515 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CNM |
NPI Number Detail
| NPI Number | 1629102272 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2008-04-29 |
Provider Mailing Address Detail
| Address | 4855 Sw Western Ave |
|---|---|
| City | Beaverton |
| State | Oregon (OR) |
| Post Code | 970053460 |
| Phone Number | 5036265515 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 363Lx0001X |
| Licence No | OR 200050017 |
|
Definition: An advanced practice registered nurse expert in healthcare services related to the female reproductive system across the lifespan. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Stacey L Wilson by the Centers for Medicare & Medicaid Services?
The Stacey L Wilson has been assigned the NPI (National Provider Identifier) 1629102272 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Stacey L Wilson is geographically located?
The Stacey L Wilson is physically situated at the following location: 4855 Sw Western Ave, Beaverton, OR, 970053460.
What is Stacey L Wilson'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 Stacey L Wilson is Obstetrics & Gynecology, and the taxonomy classification code that categorizes this area of expertise is 363Lx0001X.
On what date did the Stacey L Wilson receive its 1629102272 assignment from the Centers for Medicare & Medicaid Services?
The Stacey L Wilson was assigned its 1629102272 by the Centers for Medicare & Medicaid Services on 2007-03-15.
As of what date was the information regarding Stacey L Wilson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stacey L Wilson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-29.
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