Mccarty Wilson, Stacy Rene

Mccarty Wilson, Stacy Rene is an individual health care provider with primary practice located at 939 Oak St Se , Salem OR 97301-3901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mccarty Wilson, Stacy Rene can be contacted via phone (503) 561-5200.

Contact Information

Primary practice address
939 Oak St Se Salem OR 97301-3901
Phone: (503) 561-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2007022061 Missouri
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD152435 Oregon

Profile Details

NPI number 1992839286
LBN Legal business name Mccarty Wilson, Stacy Rene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Nov 10th, 2020 - about 4 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.

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