DIRK WILLIAM STAFFORD
NPI 1558905000
Counselor - Mental Health in Phoenix, OR

Active since October 28, 2019
149 S MAIN ST, PHOENIX, OR 97535(541) 535-4133 Get Directions Write a Review

NPPES record last updated: October 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dirk William Stafford NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIRK WILLIAM STAFFORD (NPI 1558905000) is an individual mental health provider in Phoenix, Oregon and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1558905000
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDIRK WILLIAM STAFFORD
Location Address149 S MAIN STPhoenix, OR 97535-6631
Mailing Address220 Sweetbriar DrTalent, OR 97540-8617 · (541) 690-9693
Sole ProprietorNo
Enumeration DateOctober 28, 2019
NPI 1558905000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
149 S MAIN ST, Phoenix, OR 97535

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
149 S MAIN ST
PHOENIX, OR 97535
Counselor
149 S MAIN ST
PHOENIX, OR 97535
Counselor (Mental Health)
149 S MAIN ST
PHOENIX, OR 97535
Counselor (Addiction (Substance Use Disorder))
149 S MAIN ST
PHOENIX, OR 97535
Counselor (Addiction (Substance Use Disorder))
149 S MAIN ST
PHOENIX, OR 97535
Counselor (Addiction (Substance Use Disorder))
149 S MAIN ST
PHOENIX, OR 97535
Counselor
149 S MAIN ST
PHOENIX, OR 97535
Counselor (Mental Health)
149 S MAIN ST
PHOENIX, OR 97535

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 Dirk Stafford's NPI number?

The NPI number for Dirk Stafford is 1558905000. It was assigned to this individual provider in the NPPES registry on October 28, 2019.

Where is Dirk Stafford located?

Dirk Stafford practices at 149 S Main St, Phoenix, OR 97535. The listed phone number is (541) 535-4133.

What is Dirk Stafford'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 Dirk Stafford was last updated on October 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.