IndividualActive
Stacy Ronquillo, NP
NPI 1811603079 · Family Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1811603079
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 10012143 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9455 Sw 80th Ave
Portland, OR 97223-8966
Phone: (503) 208-4610
Fax: (503) 447-2700
Street-level locationGet directions
Mailing address
Po Box 2411
Tualatin, OR 97062-2411
Additional practice locations (1)
- 525 3rd St Ste 200Lake Oswego, OR 97034-3082Phone: (503) 208-4610
Registry dates
- Enumerated
- 2023-01-30
- Last updated
- 2024-09-12
- Certified
- 2024-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.