Active NPIIndividual provider

Ms. Stacy Bunnell, MA

Counselor, Mental Health in Beaverton, Oregon

NPI Number1902173941
Practice location
16535 SW Tualatin Valley Hwy, Beaverton, OR 97003-5143
Fax
503-649-7405
Last updated
August 4, 2015

Stacy Bunnell is a Counselor, Mental Health based in Beaverton, OR. Stacy Bunnell practices in Beaverton, OR and has the professional credentials of MA. The NPI Number for Stacy Bunnell is 1902173941 and holds a License No. LH60534215 (WA). The current practice location address for Stacy Bunnell is 16535 SW Tualatin Valley Hwy, Beaverton, OR 97003-5143 and can be reached out via phone at 503-259-3131 and via fax at 503-649-7405.

Provider Profile Details

NPI Number
1902173941
Provider Name
Stacy Bunnell
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
16535 SW Tualatin Valley Hwy, Beaverton, OR 97003-5143
Phone Number
503-259-3131
Fax Number
503-649-7405
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
November 18, 2011
Last Update Date
August 4, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
16535 SW Tualatin Valley Hwy
Beaverton, OR 97003-5143
State
Oregon
Zip
97003-5143
Phone Number
503-259-3131
Fax Number
503-649-7405
Beaverton, OR 97003Get directions →

Provider Business Mailing Address Details

Address
16535 SW Tualatin Valley Hwy
Beaverton, OR 97003-5143
City
Beaverton
State
OR
Zip
97003-5143
Phone Number
503-259-3131
Fax Number
503-649-7405

License Information

Taxonomy (1)
Counselor · 101Y00000X
License Number (2)
LH60534215
License State (2)
WA
Taxonomy (2)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Stacy Bunnell, MA?

The NPI number of Ms. Stacy Bunnell, MA is 1902173941. It was assigned on November 18, 2011 and is currently active in the NPPES registry.

What is the specialty of Ms. Stacy Bunnell, MA?

Ms. Stacy Bunnell, MA is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in WA under license number LH60534215.

Where does Ms. Stacy Bunnell, MA practice?

The practice location is 16535 SW Tualatin Valley Hwy, Beaverton, OR 97003-5143. The office can be reached at 503-259-3131 (phone) or 503-649-7405 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902173941 directly on the NPPES registry website.

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