Individual provider · Type 1 NPI

Stacey Ann Damazo, FNP-BC

Family Nurse Practitioner · Portland, OR

NPI number 1619562170 Active

Practice location

3303 S Bond Ave
Portland, OR 97239-4501

Fax (503) 494-4749

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X2020012418 (OR)
School Nurse Practitioner 363LS0200X2020012418 (OR)
Family Nurse Practitioner Primary 363LF0000X202011147NP-PP (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1619562170

Stacey Ann Damazo, FNP-BC's National Provider Identifier is 1619562170, issued on Mar 6, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Feb 4, 2022.