Stacy Marie NP, LLC Dba Remedy Functional Medicine

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

STACY MARIE NP, LLC DBA REMEDY FUNCTIONAL MEDICINE

Practice address

9455 SW 80TH Ave
Portland, OR 97223-8966

Phone

(503) 208-4610

Fax

(503) 447-2700

NPI assigned

Aug 7, 2026

Organization subpart

No

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

Authorized official

Name

Ms. Stacy Functional Ronquillo, NPNPI 1811603079

Title

Owner

Phone

(503) 208-4610

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacy Ronquillo, NP

  • Family Nurse Practitioner
  • Portland, OR
  • NPI 1811603079
  NPD (past) Authorized official

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

{
    "created_epoch": "1786060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1932023207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2411",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970622411",
            "telephone_number": "503-208-4610",
            "fax_number": "503-447-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9455 SW 80TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238966",
            "telephone_number": "503-208-4610",
            "fax_number": "503-447-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY MARIE NP, LLC DBA REMEDY FUNCTIONAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-07",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "RONQUILLO",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "FUNCTIONAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-208-4610",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Stachelrodt, LMT
• Betty Stachurski
• Stacie Wolfe ND
• Megan N Stack, FNP
• Nicola Stackhouse, LMT
• Evan Spencer Stacy, L.AC
• Francine Staczek, COTA/L
• Kathryn Stadeli, M.D.
• Andrew Stadem
• Nicolas Stadlberger, MD

• Family Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.