IndividualActive
Caroline Stanley, PA-C
NPI 1891454310 · Surgical Physician Assistant · Portland, OR
Provider details
- NPI number
- 1891454310
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA209207 (OR)
Practice location
3181 Sw Sam Jackson Park Rd # L611
Portland, OR 97239-3011
Phone: (503) 494-4884
Mailing address
3181 Sw Sam Jackson Park Rd # L611
Portland, OR 97239-3011
Registry dates
- Enumerated
- 2021-12-13
- Last updated
- 2022-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.