Stacey Beaver

NPI #1528558921 in Pendleton, Oregon

Provider Information

NPI Number: 1528558921
Entity Type: Individual
Name: Stacey Beaver
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: May 11, 2018
Last Updated: May 11, 2018

Practice Location

Address: 331 SE 2ND ST
City: Pendleton
State: Oregon
ZIP Code: 97801-2224
Phone: (541) 276-4628

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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