| Stacey L Wilson, CNM | |
|
4855 Sw Western Ave, Beaverton, OR 97005-3460 | |
| (503) 626-5515 | |
| Not Available |
| Full Name | Stacey L Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Obstetrics & Gynecology |
| Location | 4855 Sw Western Ave, Beaverton, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629102272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | OR 200050017NP (Oregon) | Primary |
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey L Wilson, CNM 8646 Nw Skyline Blvd, Portland, OR 97231-2618 Ph: () - | Stacey L Wilson, CNM 4855 Sw Western Ave, Beaverton, OR 97005-3460 Ph: (503) 626-5515 |
Amanda Hunt, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4145 Sw Watson Ave Ste 350, Beaverton, OR 97005 Phone: 866-849-0692 | |
Mrs. Sherry Diane Davidson, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10700 Sw Beaverton-hillsdale Hwy, Park Plaza West Bld 3 Suite 547, Beaverton, OR 97005 Phone: 503-643-0428 | |
Corneliu Volosen, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6800 Sw 105th Ave Ste 206, Beaverton, OR 97008 Phone: 503-430-1777 | |
Patricia A. Demsky, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10700 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005 Phone: 248-652-5291 Fax: 248-652-5817 | |
Dr. Kathleen Anne Roberts, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2725 Sw Cedar Hills Blvd Ste 200, Beaverton, OR 97005 Phone: 503-352-6000 Fax: 503-352-6081 | |
Sherry L Sweeney, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15455 Nw Greenbrier Pkwy, Suite 111, Beaverton, OR 97006 Phone: 503-531-2323 | |
Ms. Hillary L Corson, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Sw 105th Ave Ste 120, Beaverton, OR 97008 Phone: 971-245-1332 Fax: 503-641-5179 |