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

Stacy Medof, THW, PSS, PWS

Individual provider Peer Specialist · NPI 1124902507

Stacy Medof, THW, PSS, PWS is a Peer Specialist in Beaverton, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2025

Practice location Address checks out

4200 SW 107th Ave Apt 2105
Beaverton, OR 97005-3154
Phone: (818) 826-3277
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 107826 (OR)

Record details

NPI number1124902507
Entity typeIndividual (Type 1)
GenderFemale
Credentials THW , PSS , PWS
Sole proprietorYes
NPI enumeratedJuly 31, 2025
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025

Other providers in Beaverton