Porterfield, Stacey J
Porterfield, Stacey J is an individual health care provider with primary practice located at 8385 Division Rd , White City OR 97503-1176. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Porterfield, Stacey J can be contacted via phone (541) 826-5853.Contact Information
Primary practice address
8385 Division Rd
White City OR 97503-1176
Phone: (541) 826-5853
Fax: (541) 826-5843
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO200874 | Oregon |
Profile Details
| NPI number | 1255300992 |
|---|---|
| LBN Legal business name | Porterfield, Stacey J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Jul 9th, 2021 - about 3 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 | 1255300992 | NPPES |
| Colorado | MEDICAID | 96652268 |
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