Individual provider · Type 1 NPI

Stacey Marie Merz, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1609956887 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Fax (503) 418-5505

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA01155 (OR)
Physician Assistant 363A00000XPA01155 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1609956887

Stacey Marie Merz, PA-C's National Provider Identifier is 1609956887, issued on Oct 16, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Jan 4, 2022.