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

Stacey Lavita Runningbird

Individual provider Peer Specialist · NPI 1558244558

Stacey Lavita Runningbird is a Peer Specialist in Grand Ronde, Oregon. Licensed in Oregon. Registered with an NPI since 2025.

Licensed in
OR
In the registry since
2025

Practice location Address checks out

9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712
Phone: (503) 879-2026
Fax: (503) 879-2071
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 24-CRM-3690 (OR)

Record details

NPI number1558244558
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 28, 2025
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

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