Individual provider · Type 1 NPI

Marissa Stacey

Student in an Organized Health Care Education/Training Program · Longview, WA

NPI number 1013858075 Active

Practice location

3050 Pennsylvania St
Longview, WA 98632-4326

Call (360) 957-9882 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013858075

Marissa Stacey's National Provider Identifier is 1013858075, issued on Apr 3, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Longview, WA. The record was last updated on Apr 3, 2026.