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

Mrs. Stacy Elaine Luis, CADC-R

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1497573893

Mrs. Stacy Elaine Luis, CADC-R is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2024

Practice location Address checks out

9570 SW Barbur Blvd
Portland, OR 97219-5412
Phone: (971) 232-2234
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence T-24-4363 (OR)

Record details

NPI number1497573893
Entity typeIndividual (Type 1)
GenderFemale
Credentials CADC-R
Sole proprietorYes
NPI enumeratedOctober 3, 2024
Last updated in NPPESOctober 3, 2024
Certification dateOctober 2, 2024

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