DIRK WILLIAM STAFFORD


Address: 149 S Main St, Phoenix, OR 97535-6631
Phone: 5415354133

DIRK WILLIAM STAFFORD (NPI# 1558905000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558905000
Entity Type Individual
Full Name DIRK WILLIAM STAFFORD
Practice Address 149 S Main St
Phoenix
OR 97535-6631
Mailing Address 220 Sweetbriar Dr
Talent
OR 97540-8617
Practice Telephone 5415354133
Mailing Telephone 5416909693
Enumeration Date 2019-10-28
Last Update Date 2019-10-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 149 S MAIN ST
City PHOENIX
State OR
Zip Code 97535-6631

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871110023 Zhawen Wahpepah Counselor 149 S Main St, Phoenix, OR 97535-6631 2020-07-02
1871110304 Melissa Chapman Counselor 149 S Main St, Phoenix, OR 97535-6631 2020-06-30
1679190565 Sarah Grubbs Counselor 149 S Main St, Phoenix, OR 97535-6631 2020-06-26
1881211696 Mario Guzman Counselor 149 S Main St, Phoenix, OR 97535-6631 2020-06-26
1144847039 Trinity Okzana Leonis Counselor 149 S Main St, Phoenix, OR 97535-6631 2020-06-26
1386284685 Alysse Lynette Kelly Peer Specialist 149 S Main St, Phoenix, OR 97535-6631 2020-01-14
1851934533 Holly Ivie Counselor 149 S Main St, Phoenix, OR 97535-6631 2019-10-24
1275176398 Emily E Hinman Counselor 149 S Main St, Phoenix, OR 97535-6631 2019-10-21
1225687668 Mary Kate Regan Counselor 149 S Main St, Phoenix, OR 97535-6631 2019-09-09
1053967570 Shelby Bryne Smith Counselor 149 S Main St, Phoenix, OR 97535-6631 2019-08-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417318577 Brent M Gordon Counselor 5505 S Pacific Hwy, Phoenix, OR 97535 2016-03-16
1740649821 Elizabeth Van Driel Counselor 149 N Main Street, Phoenix, OR 97535 2016-02-17
1740611458 William Allen Haden Jr. Social Worker 106 N. Rose Street, Phoenix, OR 97535 2013-12-05
1528396470 Sarah Bly Midwife, Lay 509 5th St., Phoenix, OR 97535 2009-12-03
1992961239 Stephen J Brummett Counselor 482 Elm St, Phoenix, OR 97535 2008-08-06
1568680577 Christine Carolyn Robinson Chiropractor 721 N. Main St., Space A, Phoenix, OR 97535 2007-04-23
1982729539 Daniel Jansen Counselor 215 N Rose St, Phoenix, OR 97535 2007-03-20
1770196016 La Clinica Del Valle Family Healthcare Center Inc. Clinic/Center 106 N. Rose Street, Phoenix, OR 97535 2020-08-26
1760972160 Jennifer L Burke Counselor 149 N Main Street, Phoenix, OR 97535 2018-05-11
1124552872 Desiree Thompson Counselor 149 N Main St, Phoenix, OR 97535 2017-04-19
Find all providers in zip 97535

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1952901332 Jennifer Barreras Counselor 1818 E Burgess Ln, Phoenix, AZ 85042-4518 2020-10-27
1477153799 Haydee Bermudez Counselor 3301 North 33rd Ave., Phoenix, AZ 85029 2020-10-27
1174135487 Kelli Randon Counselor 14040 N Cave Creek Rd Ste 207, Phoenix, AZ 85022-6179 2020-08-18
1891307328 Empire Health and Therapy LLC Counselor 1730 W Lacewood Pl, Phoenix, AZ 85045-0528 2020-08-17
1043821747 Annette M Callahan Counselor 3229 E Briarwood Ter, Phoenix, AZ 85048-7843 2020-08-14
1528679032 Apex Rising Community Services LLC Counselor 4150 W Peoria Ave Ste 220, Phoenix, AZ 85029-3956 2020-08-10
1780293654 Mitsrain's House of Hope LLC Counselor 5744 N 41st Ave, Phoenix, AZ 85019-1814 2020-07-27
1740898378 Samantha Cheyenne-dahl Moss Counselor 3519 E Shea Blvd Ste 138, Phoenix, AZ 85028-3349 2020-07-20
1083231856 Amber Taylor Counselor 21640 N 19th Ave, Phoenix, AZ 85027-2720 2020-06-28
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Competitor

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City PHOENIX
Zip Code 97535

Improve Information

Please comment or provide details below to improve the information on DIRK WILLIAM STAFFORD.

Dataset Information

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.

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