Individual provider · Type 1 NPI

Stacey Marie Lawrence, PA

Medical Physician Assistant · Portland, OR

NPI number 1851443501 Active

Practice location

3181 SW Sam Jackson Park Rd, Mailcode UHS2
Portland, OR 97239-3011

Call (503) 494-4910 Map

Fax (503) 494-8368

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA01185 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1851443501

Stacey Marie Lawrence, PA's National Provider Identifier is 1851443501, issued on Jan 16, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.