Individual
STACEY M MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
703 NE HANCOCK ST, PORTLAND, OR 97212-3955
(503) 230-9875
(503) 331-3441
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 224-1044
(503) 621-2235
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202110746RN
OR
163W00000X
Registered Nurse
RN61283884
WA
Other
Enumeration date
07/19/2022
Last updated
01/30/2023
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