Provider Demographics
NPI:1811621212
Name:STOICA, RALUCA L
Entity type:Individual
Prefix:
First Name:RALUCA
Middle Name:L
Last Name:STOICA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 SW 89TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-6505
Mailing Address - Country:US
Mailing Address - Phone:503-954-7152
Mailing Address - Fax:503-961-1222
Practice Address - Street 1:1720 SW 89TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-6505
Practice Address - Country:US
Practice Address - Phone:503-954-7152
Practice Address - Fax:503-961-1222
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based