Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Stacy Marie NP, LLC Dba Remedy Functional Medicine

Organization Family Nurse Practitioner · NPI 1932023207

Stacy Marie NP, LLC Dba Remedy Functional Medicine provides Family Nurse Practitioner services in Portland, Oregon. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9455 SW 80th Ave
Portland, OR 97223-8966
Phone: (503) 208-4610
Fax: (503) 447-2700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1932023207
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Ronquillo — Owner · (503) 208-4610
NPI enumeratedAugust 7, 2026
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing addressPo Box 2411, Tualatin, OR 97062-2411

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