IndividualActive
Stacey Roddick
NPI 1740926815 · Internal Medicine Physician · Mcminnville, OR
Provider details
- NPI number
- 1740926815
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- MD224473 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2700 Se Stratus Ave
Mcminnville, OR 97128-6255
Phone: (503) 472-6131
Approximate (ZIP-level) locationGet directions
Mailing address
2700 Se Stratus Ave
Mcminnville, OR 97128-6255
Registry dates
- Enumerated
- 2022-05-10
- Last updated
- 2025-08-28
- Certified
- 2025-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.