STACY LANDERS

PORTLAND, OR
NPI1477973204
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA168821)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: WA  PA61075846)
363AM0700X Physician Assistant, Medical
(Licence: OR  PA168821)
Enumeration Date2014-04-19
Last Update Date2022-07-29
Business Address
STACY LANDERS PA-C
1547 NE 40TH AVE STE B
PORTLAND, OR 97232-1862
Phone number: 503-284-1937
Mailing Address
STACY LANDERS PA-C
1840 E RAY RD
CHANDLER, AZ 85225-8720
Phone number: 855-397-0197