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

Marisa Ann Stackpoole

Individual provider Professional Counselor · NPI 1407427719

Marisa Ann Stackpoole is a Professional Counselor in Medford, Oregon. Licensed in Oregon. Registered with an NPI since 2021.

Licensed in
OR
In the registry since
2021

Practice location Address checks out

21 Hawthorne St
Medford, OR 97504-7113
Phone: (458) 226-2339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C11174 (OR)

Record details

NPI number1407427719
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 7, 2021
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026
Mailing address21 Hawthorne St, Medford, OR 97504-7113

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