Williamson, Stacey Ann
Williamson, Stacey Ann is an individual health care provider with primary practice located at 12442 Sw Scholls Ferry Rd Ste 100 , Tigard OR 97223-0803. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Williamson, Stacey Ann can be contacted via phone (503) 216-9200.Contact Information
Primary practice address
12442 Sw Scholls Ferry Rd Ste 100
Tigard OR 97223-0803
Phone: (503) 216-9200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2020025684 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085008245 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA178932 | Oregon |
Profile Details
| NPI number | 1457667891 |
|---|---|
| LBN Legal business name | Williamson, Stacey Ann |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2010 |
| Last updated | Jul 6th, 2021 - 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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