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Contact Information

VENESSA STAS, MD
11782 SW BARNES RD
SUITE 300
PORTLAND, OR97225-5914
 Phone: 503-214-5200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for VENESSA STAS · (Female)

NPI Number 1720219058
Status Active
Credentials MD
Entity Individual
Enumeration date 08/04/2009
Last updated 05/16/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD151642
  • OR Medicaid 500634378
  • OR Other MD151642 MEDICAL LICENSE
Hospital affiliation(s)
  • PROVIDENCE ST VINCENT MEDICAL CENTER - (Acute Care)
    9205 SW BARNES ROAD
    PORTLAND, OR 97225
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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