Mrs. Marla E. Stasik
Nurse Practitioner - Adult Health
4560 Se International Way Ste 100
Milwaukie
, Oregon 97222-4628
Mrs. Marla E. Stasik
Nurse Practitioner - Adult Health
4560 Se International Way Ste 100
Milwaukie
, Oregon 97222-4628
(503) 679-6724
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Mrs. Marla E. Stasik
- 13160 Sw Whitmore Rd
- Hillsboro, OR
- Zip : 97123-9073
- Phone : (503) 679-6724
Second Address
- Mrs. Marla E. Stasik
- 4560 Se International Way Ste 100
- Milwaukie, OR
- Zip : 97222-4628
- Phone : (971) 712-6863
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 200350067NP | OR |
National Provider Identifier
| NPI | 1023084621 |
|---|---|
| Provider Name | Mrs. Marla E. Stasik |
| First Address | Hillsboro, OR 97123-9073 |
| Second Address | Milwaukie, OR 97222-4628 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/02/2006 |
| Last Update Date | 20/03/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.