Marla E. Stasik, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

200350067NP Issued in OR

Practice address

4560 SE International Way Ste 100
Milwaukie, OR 97222-4628

Phone

(971) 712-6863

NPI assigned

Feb 24, 2006

Last updated

Mar 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Marla E. Rubenstein Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paul Stasik OD PC

  dba Barnes Professional Eye Care

  • Corneal and Contact Management Optometrist
  • Portland, OR
  • NPI 1396750717
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1023084621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13160 SW WHITMORE RD",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971239073",
            "telephone_number": "503-679-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 SE INTERNATIONAL WAY STE 100",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972224628",
            "telephone_number": "971-712-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASIK",
        "first_name": "MARLA",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "200350067NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLA",
            "last_name": "RUBENSTEIN",
            "middle_name": "E.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheryl Lynn Stancell, PT
• Stanley SNF Healthcare LLC (Stanley Post Acute)
• Bethany Ann Stanley, MS CCC SLP
• James E Stark, M.D.
• Tamara Lynn Starr, MS CCCSLP
• Asa J Statler
• Carley Stead
• Kaitlyn Steffen, MSN, APRN, PMHNP-BC
• Melanie Stein, ND
• Liesa Steiner, PTA

• Adult Health Nurse Practitioner in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Adult Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.