License Verification Details


Subject to Terms and Conditions. This site is a primary source for verification of license credentials consistent with Joint Commission and NCQA standards.

Return to Search

Inquire about bulk data access

Oregon Medical Board
1500 SW 1st Ave
Suite 620
Portland, OR 97201
Phone: (971) 673-2700
Oregon Seal

Information current as of 05/23/2026 09:43:11 AM

Booth, Stacy Brandon, PA

PA License: PA00621

  • 04/16/1999
  • Active
  • 01/01/2026
  • 12/31/2027
  • NCCPA (PANCE)

Other Licenses

    
License Number Effective Date Expiration Date License Type
LL0830509/10/199804/16/1999PA Postgraduate License (also known as PA Pending Examination License)

Licensee or Registrant Information

Female
Physician Associate
Specialty is self-reported by the licensee. It does not necessarily indicate specialty board certification.
English

Practice Location(s)

Street City, State Zip County Phone
10180 SE Sunnyside Rd Clackamas, OR 97015 Clackamas 503-571-8268
9900 SE Sunnyside Rd Clackamas, OR 97015 Clackamas 503-571-4227
Kaiser Westside Medical Center, 2875 NW Stucki AVE Hillsboro, OR 97124 Washington 971-310-1000

Education

School Name Location Degree Date Degree Earned
Univ of South Alabama Mobile, AL United States 08/22/1998 PA

The licensee may have completed additional education or training programs. Only those that have been verified with the primary source are shown.

Board Actions

There are no current or prior Board actions or agreements on file for this licensee or registrant.

Malpractice

To search for closed malpractice claim information for this licensee, click here.