Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John Travis Stacy, BA

Individual provider Counselor · NPI 1063362952

John Travis Stacy, BA is a Counselor in Beaverton, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2026
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

16535 SW Tualatin Valley Hwy
Beaverton, OR 97003-5143
Phone: (503) 649-5651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X (OR)

Record details

NPI number1063362952
Entity typeIndividual (Type 1)
GenderMale
Credentials BA
Sole proprietorYes
NPI enumeratedJanuary 30, 2026
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026
Mailing address16535 Sw Tualatin Valley Hwy, Beaverton, OR 97003-5143

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