Stacey Lavita Runningbird
NPI #1558244558 in Grand Ronde, Oregon
Provider Information
- NPI Number
- 1558244558
- Entity Type
- Individual
- Name
- Stacey Lavita Runningbird
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Jul 28, 2025
- Last Updated
- Jul 28, 2025
Practice Location
- Address
- 9605 GRAND RONDE RD
- City
- Grand Ronde
- State
- Oregon
- ZIP Code
- 97347-9712
- Phone
- (503) 879-2026
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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