Individual
STACEY RODDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 SE STRATUS AVE, MCMINNVILLE, OR 97128-6255
(503) 472-6131
Mailing address
2700 SE STRATUS AVE, MCMINNVILLE, OR 97128-6255
(503) 472-6131
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD224473
OR
Other
Enumeration date
05/10/2022
Last updated
08/28/2025
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