Individual
STACY RYAN CHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 S GARDEN WAY, SUITE 350, EUGENE, OR 97401-8176
(541) 746-6816
(541) 726-3177
Mailing address
PO BOX 1648, EUGENE, OR 97440-1648
(541) 746-6816
(541) 726-3177
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD26858
OR
208000000X
Pediatrics Physician
MD26858
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240134
—
OR
Enumeration date
05/04/2006
Last updated
09/19/2025
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