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

Stacey Ann Damazo, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1619562170

Stacey Ann Damazo, FNP-BC is a Nurse Practitioner in Portland, Oregon. Qualified in 2020, 6 years ago. Practices with University Professional Services, a 1,704-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
6
Licensed in
OR
In the registry since
2021
Specialties on file
3
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

3303 S Bond Ave
Portland, OR 97239-4501
Phone: (503) 494-1775
Fax: (503) 494-4749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 202011147NP-PP (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2020012418 (OR)
School Nurse Practitioner Taxonomy 363LS0200X · Licence 2020012418 (OR)

Record details

NPI number1619562170
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedMarch 6, 2021
Last updated in NPPESFebruary 4, 2022
Certification dateFebruary 4, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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