DR. STACEY RENE CONDREN (NPI# 1396703211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396703211 |
| Entity Type | Individual |
| Full Name | DR. STACEY RENE CONDREN |
| Credential | M.D. |
| Practice Address |
700 Ne 87th Ave Vancouver WA 98664-1913 |
| Mailing Address |
Po Box 873010 Vancouver WA 98687-3010 |
| Practice Telephone | 3608822778 |
| Practice Fax Number | 3606041785 |
| Mailing Telephone | 3608822778 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2017-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
MD60133929 | WA | Allopathic & Osteopathic Physicians |
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
22572 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
700 NE 87TH AVE |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447255112 | Lewis Mark Steinberg | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2005-06-17 |
| 1598398141 | Blakely Garrity | Physician Assistant | 700 Ne 87th Ave, Vancouver, WA 98664-4896 | 2020-02-21 |
| 1851958797 | Rosa Pham | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2019-05-28 |
| 1902368319 | Alexandria Eunsong Yeo | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664-4896 | 2019-04-03 |
| 1568961100 | Jill Renee Bradley | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664-4896 | 2018-02-09 |
| 1245757939 | Matthew Elamparo | Pharmacist | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2017-08-24 |
| 1174051023 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 700 Ne 87th Ave, Suite 180, Vancouver, WA 98664-1913 | 2017-05-23 |
| 1952833741 | Jeanne Lothrop Gurney | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2017-03-30 |
| 1730639626 | Cameron M Schmidt | Physician Assistant | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2016-10-04 |
| 1164971610 | David C Turro Jr. | Physician Assistant | 700 Ne 87th Ave, Suite 140, Vancouver, WA 98664-1913 | 2016-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215922083 | Margaret A Vajdos | Internal Medicine | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3753 | 2005-09-16 |
| 1346433166 | Katherine Chubinskaya | Internal Medicine | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2007-08-24 |
| 1861551491 | Michael R. Decker | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2006-12-08 |
| 1033297171 | Michael M Barsotti | Internal Medicine | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2006-11-02 |
| 1720167877 | Susan G Bradley | Internal Medicine | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2006-11-02 |
| 1164521654 | Stephen M Mitchell | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2006-09-21 |
| 1760424717 | Christina Orr | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2006-06-12 |
| 1699720045 | Larry Brice | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407349962 | Cascade Endocrinology Pllc | Internal Medicine | 8423 Mukilteo Spdwy Ste 102, Mukilteo, WA 98275 | 2018-06-10 |
| 1497283287 | Shannon Casey | Internal Medicine | 2320 W Commodore Way Unit 100, Seattle, WA 98199-1287 | 2017-05-24 |
| 1255606489 | Lindsay Collins | Internal Medicine | 12303 Ne 130th Ln Ste 250, Kirkland, WA 98034-3072 | 2012-03-21 |
| 1295024727 | Qin Ouyang | Internal Medicine | 1708 S. Yakima Ave., Suite 205, Tacoma, WA 98405 | 2011-04-05 |
| 1699078642 | Mary Margaret Higley Carbone | Internal Medicine | 7318 Nw Ioka Dr, Silverdale, WA 98383-7359 | 2010-12-14 |
| 1881994028 | Swedish Edmonds | Internal Medicine | 21616 76 Ave W, Suite 212, Edmonds, WA 98026 | 2010-10-21 |
| 1699082909 | Aria Endocrinology | Internal Medicine | 12303 Ne 130th Lane, Suite 400, Evergreen Professional Center, Kirkland, WA 98034 | 2010-09-08 |
| 1922312479 | Elizabeth Hsu | Internal Medicine | 411 Fortuyn Road, Grand Coulee, WA 99133 | 2010-07-27 |
| 1386958882 | Kadapalakere Pathalingappa Manjun Reddy | Internal Medicine | 1708 Yakima Ave Ste 203, Tacoma, WA 98405-5300 | 2010-07-27 |
| 1679800932 | Arthi Thirumalai | Internal Medicine | 1959 Ne Pacific St Box 356426, Univ of Washington, Division of Endocrinology, Seattle, WA 98195-6426 | 2009-11-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.