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Stacey Nixon

NPI 1770833014 · on the registry since 2012 · sole proprietor

Practice

Address
309 W 12th St
Vancouver, WA 98660
Phone
(360) 695-9803
Clinicians at this address
54

Additional practice sites

  • 3415 Se Powell Blvd, Portland, OR

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101Y00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-10-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington