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

Stacy Ronquillo, NP

Individual provider Acute Care Nurse Practitioner · NPI 1811603079

Stacy Ronquillo, NP is an Acute Care Nurse Practitioner in Portland, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2023
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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

Additional practice locations (1)

  • 525 3rd St Ste 200, Lake Oswego, OR 97034-3082 — (503) 208-4610

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10012143 (OR)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 10012143 (OR)

Record details

NPI number1811603079
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 30, 2023
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024

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