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General NPI Number Information
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NPI Number | 1811621212
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Entity Type | Individual
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Provider Name | RALUCA L STOICA
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Gender | Female
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Dates
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Enumeration Date | 07/12/2022
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Last Update Date | 07/12/2022
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Provider Practice Location Address
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Address Line | 1720 SW 89TH AVE
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City | PORTLAND
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State | OR
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Zip | 97225-6505
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Country | US
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Telephone | 503-954-7152
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Fax | 503-961-1222
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Provider Business Mailing Address
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Address Line | 1720 SW 89TH AVE
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City | PORTLAND
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State | OR
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Zip | 97225-6505
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Country | US
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Telephone | 503-954-7152
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Fax | 503-961-1222
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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