STACI COLOVOS

PORTLAND, OR
NPI1366786261
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: OR  201403204NP-PP)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: OR  201403204NP-PP)
363LA2100X Nurse Practitioner, Acute Care
(Licence: UT  6527571-4405)
Enumeration Date2012-11-15
Last Update Date2025-08-27
Business Address
STACI COLOVOS ACNP
3303 S BOND AVE
PORTLAND, OR 97239-4501
Phone number: 503-494-7246
Mailing Address
STACI COLOVOS ACNP
1400 SW 5TH AVE STE 500
PORTLAND, OR 97201-5537
Phone number: 866-617-6855