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STACY RONQUILLO NP
NPI 1811603079
Nurse Practitioner - Family in Portland, OR

Active since January 30, 2023
9455 SW 80TH AVE, PORTLAND, OR 97223(503) 208-4610(503) 447-2700 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 12, 2024, Apr 1, 2024, Jul 20, 2023 and 2 more (5 updates tracked since 2023).

About Stacy Ronquillo Np NPPES

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

STACY RONQUILLO NP (NPI 1811603079) is an individual family provider in Portland, Oregon, licensed in Oregon (10012143) and active in the NPI registry since January 2023. She maintains a secondary practice location in Lake Oswego.

NPPES Registry Identity

NPI1811603079
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACY RONQUILLOCredential: NP
Location Address9455 SW 80TH AVEPortland, OR 97223-8966
Mailing AddressPo Box 2411Tualatin, OR 97062-2411 · (503) 208-4610
Phone(503) 208-4610
Fax(503) 447-2700
Sole ProprietorNo
Enumeration DateJanuary 30, 2023
Last NPPES UpdateSeptember 12, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
✔ NPI 1811603079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 10012143
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 10012143 (OR)
9455 SW 80TH AVE, Portland, OR 97223
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Secondary Practice Location 1

Location 1525 3rd St Ste 200Lake Oswego, OR 97034-3082 · Phone (503) 208-4610

Other Providers at the Same Location NPPES 6

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

YUJI SUZUKI DC
Chiropractor
9455 SW 80TH AVE
PORTLAND, OR 97223
Washington County (503) 662-7474
PERLA CRUZ
Massage Therapist
9455 SW 80TH AVE
PORTLAND, OR 97223
Washington County (503) 662-7474
EMILY FRIED DC
Chiropractor
9455 SW 80TH AVE
PORTLAND, OR 97223
Washington County (503) 662-7474
JEFFREY WILLIAM FRANTZ
Massage Therapist
9455 SW 80TH AVE
PORTLAND, OR 97223
Washington County (503) 662-7474
CUAUTLI VERASTEGUI
Massage Therapist
9455 SW 80TH AVE
PORTLAND, OR 97223
Washington County (503) 662-7474
DR. NICOLETTE JASMINE NAPIER
Chiropractor
9455 SW 80TH AVE
PORTLAND, OR 97223
Washington County (503) 662-7474

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 Ronquillo's NPI number?

The NPI number for Stacy Ronquillo is 1811603079. It was assigned to this individual provider in the NPPES registry on January 30, 2023.

Where is Stacy Ronquillo located?

Stacy Ronquillo practices at 9455 SW 80th Ave, Portland, OR 97223. The listed phone number is (503) 208-4610.

What is Stacy Ronquillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Stacy Ronquillo was last updated on September 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.