Individual
DR. STACEY LEIGH WINTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
2700 SE STRATUS AVE UNIT 405, MCMINNVILLE, OR 97128-6258
(971) 287-5111
(503) 472-0127
Mailing address
2700 SE STRATUS AVE, MCMINNVILLE, OR 97128-6255
(971) 287-5111
(503) 472-0127
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DO173291
OR
208000000X
Pediatrics Physician
OP60176915
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025904
KRMC L&I GROUP NUMBER
WA
05
—
1619942331
—
WA
Enumeration date
02/17/2006
Last updated
09/28/2020
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