Individual
VICTORIA STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2730 PACIFIC BLVD SE, ALBANY, OR 97321-5075
(541) 967-3866
Mailing address
PO BOX 100, ALBANY, OR 97321-0031
(541) 967-3866
(541) 812-8814
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200141424RN
OR
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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