STACY RONQUILLO

PORTLAND, OR
NPI1811603079
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  10012143)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: OR  10012143)
Enumeration Date2023-01-30
Last Update Date2024-09-12
Business Address
STACY RONQUILLO NP
9455 SW 80TH AVE
PORTLAND, OR 97223-8966
Phone number: 503-208-4610
Mailing Address
STACY RONQUILLO NP
PO BOX 2411
TUALATIN, OR 97062-2411
Phone number: 503-208-4610