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

Stacey Beaver

Individual provider Counselor · NPI 1528558921

Stacey Beaver is an Undefined Non-Physician Type (Specify) in Pendleton, Oregon. Qualified in 2024, 2 years ago. Registered with an NPI since 2018.

Years since qualifying
2
In the registry since
2018
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Practice location Address checks out

331 SE 2nd St
Pendleton, OR 97801-2224
Phone: (541) 276-4628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1528558921
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 11, 2018
Last updated in NPPESMay 11, 2018
Mailing address702 Sunset Dr, Ontario, OR 97914-3121

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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