STACEY LAROSE DAVIS
NPI 1295452761
Counselor - Mental Health in Portland, OR
About Stacey Larose Davis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY LAROSE DAVIS (NPI 1295452761) is an individual mental health provider in Portland, Oregon and active in the NPI registry since October 2022.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stacey Davis's NPI number?
The NPI number for Stacey Davis is 1295452761. It was assigned to this individual provider in the NPPES registry on October 25, 2022.
Where is Stacey Davis located?
Stacey Davis practices at 2208 SE 182nd Ave, Portland, OR 97233. The listed phone number is (503) 797-7222.
What is Stacey Davis's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Stacey Davis was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Stacey Larose Davis · NPI 1295452761
Mental Health provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since October 25, 2022.
## Identity
- **NPI:** 1295452761 (Entity type: Individual)
- **Enumerated:** October 25, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 2208 SE 182ND AVE, Portland, OR 97233-5608
- **Phone:** (503) 797-7222
## Record status
- **NPPES last updated:** October 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1295452761) · Data from the CMS NPPES public registry.