MRS. STACY MARIE BODLE LPN
NPI 1568816171
Licensed Practical Nurse in Portland, OR

Active since April 20, 2016
420 NE MASON ST, PORTLAND, OR 97211(506) 546-9421 Get Directions Write a Review

NPPES record last updated: April 20, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mrs. Stacy Marie Bodle Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. STACY MARIE BODLE LPN (NPI 1568816171) is an individual licensed practical nurse in Portland, Oregon, licensed in Oregon (200730013LPN) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1568816171
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. STACY MARIE BODLECredential: LPN
Location Address420 NE MASON STPortland, OR 97211-3479
Mailing Address14302 Brittany TerOregon City, OR 97045-7156 · (503) 546-9421
Sole ProprietorNo
Enumeration DateApril 20, 2016
✔ NPI 1568816171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OR · 200730013LPN
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
420 NE MASON ST, Portland, OR 97211

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
420 NE MASON ST
PORTLAND, OR 97211
Registered Nurse (Home Health)
420 NE MASON ST, CLINIC
PORTLAND, OR 97211
Registered Nurse
420 NE MASON ST
PORTLAND, OR 97211
Licensed Vocational Nurse
420 NE MASON ST
PORTLAND, OR 97211
Licensed Practical Nurse
420 NE MASON ST
PORTLAND, OR 97211
Licensed Practical Nurse
420 NE MASON ST
PORTLAND, OR 97211
Licensed Practical Nurse
420 NE MASON ST
PORTLAND, OR 97211
Licensed Vocational Nurse
420 NE MASON ST
PORTLAND, OR 97211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Bodle's NPI number?

The NPI number for Stacy Bodle is 1568816171. It was assigned to this individual provider in the NPPES registry on April 20, 2016.

Where is Stacy Bodle located?

Stacy Bodle practices at 420 NE Mason St, Portland, OR 97211. The listed phone number is (506) 546-9421.

What is Stacy Bodle's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Stacy Bodle was last updated on April 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.