Individual provider · Type 1 NPI

Stacy Marie Rudy, PA-C

Physician Assistant · Portland, OR

NPI number 1154713188 Active

Practice location

6640 SW Redwood Ln
Portland, OR 97224-7187

Call (503) 620-7358 Map

Mailing address

800 SW 13th Ave
Portland, OR 97205-1902

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA179627 (OR)

Physician Assistant: 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1154713188

Stacy Marie Rudy, PA-C's National Provider Identifier is 1154713188, issued on Feb 27, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Portland, OR. The record was last updated on Nov 18, 2020.