Individual
DR. STACEY J PORTERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8385 DIVISION RD, WHITE CITY, OR 97503-1176
(541) 826-5853
(541) 826-5843
Mailing address
1000 E MAIN ST, MEDFORD, OR 97504-7667
(541) 773-3863
(541) 776-2892
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO200874
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96652268
—
CO
Enumeration date
03/15/2006
Last updated
07/09/2021
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