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STACY LANDERS PA-C NPI 1477973204


NPI Information

NPI: 1477973204
Provider Name: STACY LANDERS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: PACIFIC KIDNEY AND HYPERTENSION LLC

PECOS Registration: Yes

Address:
1547 NE 40TH AVE STE B
PORTLAND, OR
ZIP 97232
Phone: (503) 284-1937
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Stacy Landers, PA-C is a medical physician assistant in Portland, OR with 11 years of experience. Stacy Landers, PA-C NPI is 1477973204. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1547 NE 40TH AVE STE B
PORTLAND, OR
ZIP 97232-862
Phone: (503) 284-1937

The NPI 1477973204 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Automated urinalysis test (HCPCS:81003)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)

The enumeration date for this NPI number is 4/19/2014 and was last updated on 12/23/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedicalPA61075846WASHINGTONNo
2363AM0700XPhysician AssistantMedicalPA168821OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.