STACY MEDOF, THW, PSS, PWS
Peer Specialist
Active
Individual
NPI: 1124902507
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Peer Specialist | 175T00000X | Yes | 107826 (OR) |
Frequently Asked Questions
NPI 1124902507 is the National Provider Identifier for STACY MEDOF, THW, PSS, PWS, a Peer Specialist provider located in Beaverton, OR. This NPI was enumerated on July 31, 2025.
STACY MEDOF, THW, PSS, PWS practices at 4200 SW 107TH AVE APT 2105, Beaverton, OR 97005.
Quick Facts
- NPI
- 1124902507
- Type
- Individual
- Enumerated
- Jul 31, 2025
- Last Updated
- Jul 31, 2025
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