Agee, Stacey Ann
Agee, Stacey Ann is an sole proprietor health care provider with primary practice located at 2120 Exchange St Suite 200, Astoria OR 97103-3365. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Agee, Stacey Ann can be contacted via phone (503) 325-5360.Contact Information
Primary practice address
2120 Exchange St Suite 200
Astoria OR 97103-3365
Phone: (503) 325-5360
Fax: (503) 325-9373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 087006402N3 | Oregon |
Profile Details
| NPI number | 1275515181 |
|---|---|
| LBN Legal business name | Agee, Stacey Ann |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Apr 19th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275515181 | NPPES |
| Oregon | MEDICAID | 239443 |
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