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

Stacey L Wilson, CNM

Individual provider Obstetrics & Gynecology Nurse Practitioner · NPI 1629102272

Stacey L Wilson, CNM is an Obstetrics & Gynecology Nurse Practitioner in Beaverton, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
What do these letters mean?
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.

See every abbreviation used in this directory →

Practice location Address checks out

4855 SW Western Ave
Beaverton, OR 97005-3460
Phone: (503) 626-5515
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Nurse Practitioner (primary) Taxonomy 363LX0001X · Licence OR 200050017NP (OR)

Record details

NPI number1629102272
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNM
Sole proprietorNo
NPI enumeratedMarch 15, 2007
Last updated in NPPESApril 29, 2008