STACEY ANN DAMAZO
Nurse Practitioner (Family)

Address: 3303 S Bond Ave, Portland, OR 97239-4501

STACEY ANN DAMAZO (NPI# 1619562170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619562170
Entity Type Individual
Full Name STACEY ANN DAMAZO
Gender Female
Credential FNP-BC
Practice Address 3303 S Bond Ave
Portland
OR 97239-4501
Practice Telephone 5034949000
Mailing Address 10938 Sw 29th Ct
Portland
OR 97219-7585
Certification Date 2021-03-06
Enumeration Date 2021-03-06
Last Update Date 2021-03-06
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
2020012418 OR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3303 S BOND AVE
City PORTLAND
State OR
Zip Code 97239-4501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275131682 Suzanne Lynn Groth Rehabilitation Practitioner 3303 S Bond Ave, Portland, OR 97239-4501 2020-10-16
1346859907 Pamela Jean St Clair Nurse Practitioner · Family 3303 S Bond Ave, Portland, OR 97239-4501 2020-07-29
1174146716 Amanda Kristi Dieu Optometrist 3303 S Bond Ave, Portland, OR 97239-4501 2020-05-18
1205465689 Caryn Hayley Epstein Physician Assistant 3303 S Bond Ave, Portland, OR 97239-4501 2020-04-07
1043872492 Won Hyung Ryu Neurological Surgery 3303 S Bond Ave, Portland, OR 97239-4501 2019-07-07
1851886246 David Richard Murphy Physician Assistant · Medical 3303 S Bond Ave, Portland, OR 97239-4501 2018-06-27
1962858324 Erin Foster Dermatology 3303 S Bond Ave, Portland, OR 97239-4501 2016-05-04
1467807289 Jocelyn Michelle Jiao Psychiatry & Neurology · Neurology 3303 S Bond Ave, Portland, OR 97239-4501 2016-04-29
1700230372 Bennett Hong Ophthalmology 3303 S Bond Ave, Portland, OR 97239-4501 2016-04-20
1134586365 Tyler Kragerud Massage Therapist 3303 S Bond Ave, Portland, OR 97239-4501 2016-01-19
Find all providers in the same address

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376164582 Marisa Palandri Occupational Therapist · Neurorehabilitation 3303 Sw Bond Ave, Portland, OR 97239-4501 2020-04-28
1194345629 Margaret Alva Mcreynolds Physical Therapist 3303 Sw Bond Ave, Portland, OR 97239-4501 2020-04-24
1922628106 Kimberly Lynn Dahl Speech-Language Pathologist 3303 Sw Bond Ave Fl Chh1, Portland, OR 97239-4501 2020-04-17
1104446392 Jennifer Crawford · Jennifer Frydl Occupational Therapist · Hand 3303 Sw Bond Ave, Portland, OR 97239-4501 2020-04-17
1497374185 Ruth Semon Physical Therapist 3303 Sw Bond Ave, Portland, OR 97239-4501 2020-04-13
1649899675 Kristin Moore Physical Therapist · Geriatrics 3303 Sw Bond Ave, Portland, OR 97239-4501 2020-04-09
1821627266 Mollie Ann Suits Physical Therapist 3303 Sw Bond Ave, Portland, OR 97239-4501 2020-04-07
1508495037 Chante Noel Larlee Physical Therapist · Orthopedic 3303 Sw Bond Ave, Portland, OR 97239-4501 2020-04-06
1801425269 Andrea Susan Serdar Physical Therapist · Neurology 3303 Sw Bond Ave, Portland, OR 97239-4501 2020-04-06
1053940874 Clair Powell Physical Therapist 3303 Sw Bond Ave, Portland, OR 97239-4501 2020-04-03
Find all providers in zip 97239-4501

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1376134536 Pooja Vyas Surgery 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 2021-01-31
1407461338 Courtney Dawson Pharmacist 3181 Sw Sam Jackson Park Rd, Mail Code: Cr 9-4, Portland, OR 97239 2020-09-08
1962011163 Jennifer Lee Radke Pharmacist 3181 Sw Sam Jackson Park Rd, Mail Code: Cr 9-4, Portland, OR 97239 2020-07-24
1558979468 Elise Caitlin Esposito Student in an Organized Health Care Education/Training Program 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 2020-07-16
1750908844 Will Cowan Student in an Organized Health Care Education/Training Program 455 Sw Us Veterans Hospital Road., Portland, OR 97239 2020-07-06
1881219657 Desiree Baer Licensed Vocational Nurse Sw Us Veterans Hospital Rd, Portland, OR 97239 2020-06-08
1942839196 Belinda Juliana Nhundu Student in an Organized Health Care Education/Training Program Ohsu, 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 2020-04-08
1265061246 Jennifer Wilhelm Physical Therapist 3303 Sw Bond Ave, Mail Code Ch3t, Portland, OR 97239 2020-04-02
1447888193 Jared Schaefer Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Road, Portland, OR 97239 2020-03-30
1790312809 Eric Alexander Ardman Student in an Organized Health Care Education/Training Program Ohsu, 3181 Sw Sam Jackson Park Road, Portland, OR 97239 2020-03-26
Find all providers in zip 97239

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275128191 Billi M Mcnary 1026 Nw 20th Ave Apt 4, Portland, OR 97209-1533 2021-03-02
1164019915 Elizabeth Bond 4714 Ne Fremont St, Portland, OR 97213-1725 2020-12-28
1063019636 Elise M Harvey 117 Auburn St, Portland, ME 04103-6003 2020-10-06
1043827975 Julie Beth Kretschmar Mckinney 6400 Se Lake Rd Ste 142, Portland, OR 97222-2189 2020-09-24
1982210399 Dallas Uptown Brown 3036 Ne Mlk Jr Blvd, Portland, OR 97212-3053 2020-09-21
1134732852 Amanda Williams 195 Fore River Pkwy Ste 410, Portland, ME 04102-2788 2020-08-24
1043822794 Danielle Langer 35 Ridgeview Rd, Portland, CT 06480-4014 2020-08-23
1922619915 Jessica Weiler 1130 Nw 22nd Ave Ste 150, Portland, OR 97210-2974 2020-08-12
1942811161 Michael James Davis 1145 Brighton Ave, Portland, ME 04102-1025 2020-08-11
1508476250 Harrington Health Clinic 310 Nw Glisan Street, Portland, OR 97209 2020-08-07
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97239

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.