Individual
MS. STACY R. HAMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D., PA-C
Contact information
Practice address
16869 65TH AVE # 287, LAKE OSWEGO, OR 97035-7865
(541) 808-1093
(541) 738-2106
Mailing address
1900 WOODLAND DR, COOS BAY, OR 97420-2045
(541) 267-5151
(541) 266-4524
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
10115
OR
363A00000X
Physician Assistant
PA152548
OR
Other
Enumeration date
07/31/2007
Last updated
02/02/2016
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