Individual
STACY REBECCA VALENZUELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225
(503) 297-6334
(503) 297-2360
Mailing address
9155 SW BARNES RD STE 420, PORTLAND, OR 97225-6631
(503) 297-6334
(503) 297-2360
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD176975
OR
Other
Enumeration date
04/09/2013
Last updated
06/20/2018
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