John Travis Stacy, BA

NPI #1063362952 in Beaverton, Oregon

Provider Information

NPI Number
1063362952
Entity Type
Individual
Name
John Travis Stacy, BA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Credential
BA
Enumeration Date
Jan 30, 2026
Last Updated
Jan 30, 2026

Practice Location

Address
16535 SW TUALATIN VALLEY HWY
State
Oregon
ZIP Code
97003-5143
Phone
(503) 649-5651

Specialties & Taxonomy Codes

Specialty
Counselor

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