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

Stacey Larose Davis

Individual provider Mental Health Counselor · NPI 1295452761

Stacey Larose Davis is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

2208 SE 182nd Ave
Portland, OR 97233-5608
Phone: (503) 797-7222
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1295452761
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 25, 2022
Last updated in NPPESOctober 25, 2022
Certification dateOctober 25, 2022
Mailing address3415 Se Powell Blvd, Portland, OR 97202-3371

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