Individual provider · Type 1 NPI

Stacy Ronquillo, NP

Family Nurse Practitioner · Portland, OR

NPI number 1811603079 Active

Practice location

9455 SW 80th Ave
Portland, OR 97223-8966

Fax (503) 447-2700

Mailing address

PO Box 2411
Tualatin, OR 97062-2411

Other practice locations

  • 525 3rd St Ste 200, Lake Oswego, OR 97034-3082 · (503) 208-4610

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X10012143 (OR)
Family Nurse Practitioner Primary 363LF0000X10012143 (OR)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1811603079

Stacy Ronquillo, NP's National Provider Identifier is 1811603079, issued on Jan 30, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Sep 12, 2024.