Organization
STACY MARIE NP, LLC DBA REMEDY FUNCTIONAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACY FUNCTIONAL RONQUILLO NP (OWNER)
(503) 208-4610
Entity
Organization
Contact information
Practice address
9455 SW 80TH AVE, PORTLAND, OR 97223-8966
(503) 208-4610
(503) 447-2700
Mailing address
PO BOX 2411, TUALATIN, OR 97062-2411
(503) 208-4610
(503) 447-2700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/07/2026
Last updated
08/07/2026
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