STACEY ANN DAMAZO FNP-BC NPI 1619562170

NPI Information

NPI: 1619562170
Provider Name: STACEY ANN DAMAZO, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3303 S BOND AVE
PORTLAND, OR
ZIP 97239
Phone: (503) 494-1775
Get Directions

Stacey Ann Damazo, FNP-BC is a family nurse practitioner in Portland, OR with 4 years of experience. Stacey Ann Damazo, FNP-BC NPI is 1619562170. 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:

3303 S BOND AVE
PORTLAND, OR
ZIP 97239-501
Phone: (503) 494-1775
Fax: (503) 494-4749

The NPI 1619562170 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 enumeration date for this NPI number is 3/6/2021 and was last updated on 2/4/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	2020012418	OREGON	No
2	363LS0200X	Nurse Practitioner	School	2020012418	OREGON	No
3	363LF0000X	Nurse Practitioner	Family	202011147NP-PP	OREGON	Yes

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: 4/28/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »