STACEY MARIE CONDRAY (NPI# 1467783225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467783225 |
Entity Type | Individual |
Full Name | STACEY MARIE CONDRAY |
Practice Address |
12050 Sw Windmill Dr Beaverton OR 97008-7048 |
Practice Telephone | 5039629762 |
Mailing Telephone | 5039629762 |
Enumeration Date | 2010-01-19 |
Last Update Date | 2010-01-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
Street Address |
12050 SW WINDMILL DR |
City | BEAVERTON |
State | OR |
Zip Code | 97008-7048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972136638 | Kelly Mitchell | Counselor | 6600 Sw 105th Ave Suite 120, Beaverton, OR 97008 | 2020-02-20 |
1700305315 | Heather Denise Glenn | Counselor | 6700 Sw 105th Avenue, Suite 203, Beaverton, OR 97008 | 2017-09-14 |
1649798265 | Timothy Wilkins | Counselor | 8285 Sw Nimbus Ave #148, Beaverton, OR 97008 | 2017-09-04 |
1962920751 | West End Surgical, LLC | Clinic/Center | 9405 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-09-01 |
1073054714 | University Professional Services | Durable Medical Equipment & Medical Supplies | 9317 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-03-14 |
1508311424 | Mitra Gaspeed | Dental Hygienist | 8615 Sw Thoroughbred Pl., Beaverton, OR 97008 | 2016-08-20 |
1740521988 | Donna Louise Grenier | Registered Nurse | 1413 E St, Independence, OR 97008 | 2013-03-13 |
1508105735 | Mary Elizabeth Smith | Specialist/Technologist, Other | 11855sw Ridgecrest Dr, #209, Beaverton, OR 97008 | 2013-02-07 |
1629315551 | Adelfino J Zuriaga | Massage Therapist | 11985 Sw Camden Ln, Beaverton, OR 97008 | 2013-01-11 |
1760738330 | Lih-wern Wang | Pharmacist | 9775 Sw Gemini Dr Ste 1, Beaverton, OR 97008 | 2012-07-31 |
Find all providers in zip 97008 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972136638 | Kelly Mitchell | Counselor | 6600 Sw 105th Ave Suite 120, Beaverton, OR 97008 | 2020-02-20 |
1982249553 | Erik Cooper Klee | Counselor | 10700 Sw Beaverton Hillsdale Hwy Bldg 1, Beaverton, OR 97005-3019 | 2019-11-07 |
1831623107 | Andrea Redeau | Counselor | 6600 Sw 105th Ave Ste 120, Beaverton, OR 97008-8800 | 2017-04-13 |
1669915344 | Western Psychological and Counseling Services PC | Counselor | 9700 Sw Beaverton Hillsdale Hwy Bldg B, Beaverton, OR 97005-3306 | 2016-11-29 |
1497104004 | Solutions Group Nw LLC | Counselor | 3800 Sw Cedar Hills Blvd Ste 170, Beaverton, OR 97005 | 2016-06-06 |
1811358146 | Kathryn Parsons | Counselor | 12270 Sw Center St Apt 84, Beaverton, OR 97005-1739 | 2016-03-15 |
1821458019 | Rick Baumgartle | Counselor | 9660 Sw Denney Rd, Beaverton, OR 97008-6066 | 2016-03-01 |
1700170750 | Malena Marie Ortega | Counselor | 14025 Sw Farmington Rd, Beaverton, OR 97005 | 2011-06-07 |
1255500203 | Dr Katie Evans Inc | Counselor | 19943 Sw Jette Ln, Beaverton, OR 97006-2789 | 2008-02-25 |
1013106871 | Don D Steele | Counselor | 4900 Sw Griffith Drive, Suite 239, Beaverton, OR 97005-4649 | 2007-10-17 |
Find all providers in BEAVERTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.