Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacy Marie NP, LLC Dba Remedy Functional Medicine

Organization Family Nurse Practitioner · NPI 1932023207

Stacy Marie NP, LLC Dba Remedy Functional Medicine is a Family Nurse Practitioner in Portland, Oregon. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9455 SW 80th Ave
Portland, OR 97223-8966
Phone: (503) 208-4610
Fax: (503) 447-2700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1932023207
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Ronquillo — Owner · (503) 208-4610
NPI enumeratedAugust 7, 2026
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing addressPo Box 2411, Tualatin, OR 97062-2411

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