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

Stephanie Brooke Stucke, PA

Individual provider Physician Assistant · NPI 1730574260

Stephanie Brooke Stucke, PA is a Physician Assistant in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2015.

Licensed in
OR
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-8122
Fax: (503) 494-4953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA196435 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA196435 (OR)

Record details

NPI number1730574260
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 1, 2015
Last updated in NPPESDecember 28, 2020
Certification dateDecember 28, 2020

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